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OCONOMOWOC DEVELOPMENT TRAINING CENTER LL NPI 1386977965


NPI Information

NPI: 1386977965
Provider Name: OCONOMOWOC DEVELOPMENT TRAINING CENTER LL

Other Name: SAWYER HOUSE GROUP HOME

Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
307 WILSON AVE.
DOUSMAN, WI
ZIP 53118
Phone: (262) 569-5515
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OCONOMOWOC DEVELOPMENT TRAINING CENTER LL is a residential treatment facility, intellectual and/or developmental disabilities in Dousman, WI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. OCONOMOWOC DEVELOPMENT TRAINING CENTER LL NPI is 1386977965. The provider is registered as an organization entity type.
The provider Other Name Is Sawyer House Group Home.

The provider's business location address is:

307 WILSON AVE.
DOUSMAN, WI
ZIP 53118
Phone: (262) 569-5515
Fax: (262) 569-9962

The provider's authorized official is M. Deborah Frisk .
The authorized official title is Vice President and has the following contact phone number (262) 569-5515.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesWISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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