Organization
BROADSTEP-WISCONSIN, INC.
Active
Other names
Lisbon Home
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNE YOPPS (EXECUTIVE ASSISTANT)
(414) 930-4421
Entity
Organization
Contact information
Practice address
7624-26 W. KEEFE AVENUE, MILWAUKEE, WI 53222
(414) 527-6940
(414) 527-6941
Mailing address
5151 W SILVER SPRING DR, MILWAUKEE, WI 53218-3300
(414) 527-6940
(414) 527-6941
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/16/2011
Last updated
04/28/2021
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