Homes For Independent Living Of Wisconsin Llc is a health care provider in Dousman, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||1746 Executive Drive, Oconomowoc, WI 53066, US|
|Practice Location Phone||262-569-5515|
|Practice Location Fax||262-569-9962|
|Legal Business Name||HOMES FOR INDEPENDENT LIVING OF WISCONSIN LLC|
|Other Organization Name||HOMES FOR INDEPENDENT LIVING HIL|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Mar 5, 2007|
|Last Update Date ?||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities||Wisconsin|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Homes For Independent Living Of Wisconsin Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Ms. M Deborah Frisk (MSW)|
|Authorized Official Title/Position||VICE PRESIDENT|
|Authorized Official Phone Number||262-569-5515|