Organization · NPI-2

Adaptive Technology Resources, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Germantown, WI

NPI number1972148211
StatusActive
Last updated in NPPESNov 11, 2019

Details

NPI
1972148211
Entity type
Organization (NPI-2)
Legal business name
Adaptive Technology Resources, INC.
Organization subpart
No
Enumeration date
Nov 11, 2019
Last updated
Nov 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes
225CA2500X Rehabilitation Counselor, Assistive Technology Supplier––
225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner––
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––

Practice location

W175n11163 Stonewood Dr Ste 232
Germantown, WI 53022-6503

Phone 262-375-2020 · Fax 262-375-6777

Mailing address

W175n11163 Stonewood Dr Ste 232
Germantown, WI 53022-6503

Phone 262-375-2020

Authorized official

Richard Raymond Ziller
President
2623752020

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