Provider Demographics
NPI:1366008609
Name:THE SENSORY CLUB, INC.
Entity Type:Organization
Organization Name:THE SENSORY CLUB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COMMUNITY ENGAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-269-5200
Mailing Address - Street 1:PO BOX 180512
Mailing Address - Street 2:
Mailing Address - City:DELAFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53018-0512
Mailing Address - Country:US
Mailing Address - Phone:262-269-5200
Mailing Address - Fax:
Practice Address - Street 1:W238N1690 ROCKWOOD DR STE 500
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-2484
Practice Address - Country:US
Practice Address - Phone:262-269-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2050XRespite Care FacilityRespite CareRespite Care Camp