Organization
BROADSTEP-WISCONSIN, INC.
Active
Other names
Pineview
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE YOPPS (EXECUTIVE ASSISTANT)
(414) 930-4421
Entity
Organization
Contact information
Practice address
219 LAWRENCE ST, FREDONIA, WI 53021-9433
(262) 692-2817
Mailing address
5555 N 51ST ST, MILWAUKEE, WI 53218-3308
(414) 527-6970
(414) 527-6971
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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