Organization
PRADER WILLI HOMES OF OCONOMOWOC LLC
Active
Other names
Prader Willi Homes of Oconomowoc
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SCHMIEDER CPA (CONTROLLER)
(262) 569-5515
Entity
Organization
Contact information
Practice address
1746 EXECUTIVE DRIVE, OCONOMOWOC, WI 53066
(262) 569-5515
Mailing address
PO BOX 278, DOUSMAN, WI 53118
(262) 569-5515
(262) 569-9962
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/26/2007
Last updated
07/18/2024
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