PRADER WILLI HOMES OF OCONOMOWOC LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Oconomowoc, WI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PRADER WILLI HOMES OF OCONOMOWOC LLC NPI is 1396891875. The provider is registered as an organization entity type.
The provider Is Doing Business As Prader Willi Homes Of Oconomowoc.
The provider's business location address is:
1746 EXECUTIVE DRIVE
OCONOMOWOC, WI
ZIP 53066
Phone: (262) 569-5515
The provider's authorized official is M Deborah Frisk .
The authorized official title is Vice President and has the following contact phone number (262) 569-5515.
The CLIA number assigned to this NPI record is 52D2093179 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/22/2020.