Organization
BROOKE INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A. THORNBURG (EXECUTIVE DIRECTOR)
(920) 924-3020
Entity
Organization
Contact information
Practice address
1257 INDUSTRIAL PKWY, FOND DU LAC, WI 54937-2203
(920) 924-3020
(920) 924-3039
Mailing address
1257 INDUSTRIAL PKWY, FOND DU LAC, WI 54937-2203
(920) 924-3020
(920) 924-3039
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251V00000X
Voluntary or Charitable Agency
Primary
1164-800
WI
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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