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OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC
NPI 1689145500
Residential Treatment Facility, Emotionally Disturbed Children in Oconomowoc, WI

Active since December 17, 2018
36100 GENESEE LAKE SCHOOL, OCONOMOWOC, WI 53066(262) 569-5510 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Oconomowoc Developmental Training Center Of Wisconsin Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC (NPI 1689145500) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Oconomowoc, Wisconsin and active in the NPI registry since December 2018. The organization lists Victoria Ann Raml-glider, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689145500
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameOCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC
Location Address36100 GENESEE LAKE SCHOOLOconomowoc, WI 53066
Mailing Address36100 Genesee Lake SchoolOconomowoc, WI 53066 · (262) 569-5510
Phone(262) 569-5510
Organization SubpartYes
Authorized OfficialVictoria Ann Raml-gliderExecutive Director · (262) 569-5510
Enumeration DateDecember 17, 2018
✔ NPI 1689145500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
36100 GENESEE LAKE SCHOOL, Oconomowoc, WI 53066
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oconomowoc Developmental Training Center Of Wisconsin LLC's NPI number?

The NPI number for Oconomowoc Developmental Training Center Of Wisconsin LLC is 1689145500. It was assigned to this organization in the NPPES registry on December 17, 2018.

Where is Oconomowoc Developmental Training Center Of Wisconsin LLC located?

Oconomowoc Developmental Training Center Of Wisconsin LLC is located at 36100 Genesee Lake School, Oconomowoc, WI 53066. The listed phone number is (262) 569-5510.

What is Oconomowoc Developmental Training Center Of Wisconsin LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Oconomowoc Developmental Training Center Of Wisconsin LLC was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.