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Prader Willi Homes Of Oconomowoc Llc

Prader Willi Homes Of Oconomowoc Llc is a health care provider in Dousman, WI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1746 Executive Drive, Oconomowoc, WI 53066, US
Practice Location Phone262-569-5515
Practice Location Fax
Legal Business NamePRADER WILLI HOMES OF OCONOMOWOC LLC
Other Organization NamePRADER WILLI HOMES OF OCONOMOWOC
Other Organization Name TypeDoing Business As Name
NPI ?1396891875
Entity TypeOrganization
Enumeration Date ? Jan 26, 2007
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Prader Willi Homes Of Oconomowoc Llc

SpecialtySpecializationLicenseLicense State
Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

official-icon Authorized Official of Prader Willi Homes Of Oconomowoc Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Prader Willi Homes Of Oconomowoc 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/PositionVICE PRESIDENT
Authorized Official Phone Number262-569-5515