Cory House Group Home

LBN: Oconomowoc Devemopmental Training Center Ll
Cory House Group Home is an health care organization with primary practice located at 201-203 Cory Ave. , Dousman WI 53118. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Oconomowoc Devemopmental Training Center Ll can be contacted via phone (262) 569-5515, or through Frisk, M. Deborah via phone (262) 569-5515.

Contact Information

Primary practice address
201-203 Cory Ave. Dousman WI 53118
Phone: (262) 569-5515
Fax: (262) 569-9962
Website:
Map and Directions
Authorized official contact:
Name: Frisk, M. Deborah MSW
Phone: (262) 569-5515

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X Wisconsin

Profile Details

NPI number 1013240696
LBN Legal business name Oconomowoc Devemopmental Training Center Ll
DBA Doing business as Cory House Group Home
Authorized official Frisk, M. Deborah MSW
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 14th, 2009
Last updated Sep 14th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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