Organization
BROADSTEP-WISCONSIN, INC.
Active
Other names
Thurston Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE YOPPS (EXECUTIVE ASSISTANT)
(414) 930-4421
Entity
Organization
Contact information
Practice address
5734 N 94TH ST, MILWAUKEE, WI 53225-2604
(414) 462-7117
(414) 462-9727
Mailing address
5551 N. 51ST BLVD., MILWAUKEE, WI 53218
(414) 527-6970
(414) 527-6971
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2007
Last updated
05/19/2021
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