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.
|Practice Location||1746 Executive Drive, Oconomowoc, WI 53066, US|
|Practice Location Phone||262-569-5515|
|Practice Location Fax|
|Legal Business Name||PRADER WILLI HOMES OF OCONOMOWOC LLC|
|Other Organization Name||PRADER WILLI HOMES OF OCONOMOWOC|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ?||Jan 26, 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|
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/Position||VICE PRESIDENT|
|Authorized Official Phone Number||262-569-5515|