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Facility Name
License or Certification Number		Provider TypeAddressCountyFacility ContactClient Groups Served
LONDON LODGE II

310717 		Community Based Residential Facility W9097 LONDON RD
CAMBRIDGE, WI 53523 		JEFFERSON Margaret Pennewell

(920) 648-2309

FAX: (920) 648-7541 		ADVANCED AGED, PHYSICALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
SIENNA CREST FORT ATKINSON

310733 		Community Based Residential Facility 1531 COMMONWEALTH DR
FORT ATKINSON, WI 53538 		JEFFERSON Sue White

(920) 568-1840

FAX: (608) 835-3094 		ADVANCED AGED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
HIL APPLE HOUSE

0012615 		Community Based Residential Facility 1621 PREMIER PL
FORT ATKINSON, WI 53538 		JEFFERSON Laura Ladwig

(920) 568-0925

FAX: (920) 563-6496 		DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
DOHERTY HOME

0011631 		Community Based Residential Facility N7855 LITTLE COFFEE RD
WATERTOWN, WI 53094 		JEFFERSON Sarah Goralski

(262) 468-0366

FAX: (262) 569-5511 		DEVELOPMENTALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
WELLINGTON MEADOWS

0012024 		Community Based Residential Facility 525 MEMORIAL DRIVE
FORT ATKINSON, WI 53538 		JEFFERSON Jennifer Weltzin

(715) 212-7937

FAX: (920) 563-3008 		ADVANCED AGED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
WELLINGTON PLACE OF FORT ATKINSON

0012025 		Community Based Residential Facility 200 S WATER ST WEST
FORT ATKINSON, WI 53538 		JEFFERSON Jennifer Weltzin

(920) 723-0708

FAX: (920) 568-0974 		ADVANCED AGED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
MAPLE RUN CBRF

0012086 		Community Based Residential Facility N2489 WENHAM RD
FORT ATKINSON, WI 53538 		JEFFERSON Troy Hansen

(920) 568-0413

FAX: (920) 563-8558 		DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, HCBS COMPLIANCE / PUBLIC FUNDING
EICKSTAEDT

0018568 		Community Based Residential Facility 101 EICKSTAEDT LANE
WATERTOWN, WI 53094 		JEFFERSON Patricia Faulhaber

(920) 390-4550

FAX: (920) 390-4551 		DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
BLACK HAWK SENIOR RESIDENCE

0014288 		Community Based Residential Facility 1 MILWAUKEE AVE WEST
FORT ATKINSON, WI 53538 		JEFFERSON Andrew Logan

(920) 563-1480

FAX: (920) 563-6051 		ADVANCED AGED, PHYSICALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
CRABAPPLE COURT CBRF

0014290 		Community Based Residential Facility 1315 S MAIN ST
FORT ATKINSON, WI 53538 		JEFFERSON Troy Hansen

(920) 563-8554

FAX: (920) 563-8558 		DEVELOPMENTALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, HCBS COMPLIANCE / PUBLIC FUNDING
MILFORD

0018558 		Community Based Residential Facility 557 MILFORD STREET
WATERTOWN, WI 53094 		JEFFERSON Patricia Faulhaber

(920) 261-3050

DEVELOPMENTALLY DISABLED, ALCOHOL/DRUG DEPENDENT, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
AUTUMN WINDS LLC

0016509 		Community Based Residential Facility N3767 Airport RD
CAMBRIDGE, WI 53523 		JEFFERSON Dee Otte

(608) 423-9300

FAX: (608) 423-9300 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, TERMINALLY ILL, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
BIRCH TERRACE CBRF

310314 		Community Based Residential Facility 1109 CASWELL ST
FORT ATKINSON, WI 53538 		JEFFERSON Troy Hansen

(920) 563-8554

FAX: (920) 563-8558 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, EMOTIONALLY DISTURBED/MENTAL ILLNESS, HCBS COMPLIANCE / PUBLIC FUNDING
LONDON LODGE I

310455 		Community Based Residential Facility W9095 LONDON RD
CAMBRIDGE, WI 53523 		JEFFERSON Margaret Pennewell

(920) 648-3171

FAX: (920) 648-7541 		ADVANCED AGED, PHYSICALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
LUEDER HOUSE

310460 		Community Based Residential Facility 1473 ANNEX RD
JEFFERSON, WI 53549 		JEFFERSON Kim Popp

(920) 674-8114

FAX: (920) 674-7409 		EMOTIONALLY DISTURBED/MENTAL ILLNESS
MARGARET RUTH HOME

310407 		Community Based Residential Facility N8007 LAKEVIEW DR
TOWN OF IXONIA, WI 53036 		JEFFERSON Sarah Goralski

(262) 569-5533

FAX: (262) 649-3301 		DEVELOPMENTALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI ST MARTHA

310546 		Community Based Residential Facility W5092 HWY 18
JEFFERSON, WI 53549 		JEFFERSON Shannon Hammer

(920) 674-8230

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI PADUA HEIGHTS

0009098 		Community Based Residential Facility 724 E RACINE ST
JEFFERSON, WI 53549 		JEFFERSON Shannon Hammer

(920) 674-8230

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
CEDAR HILL

310332 		Community Based Residential Facility N1366 HWY 12
FORT ATKINSON, WI 53538 		JEFFERSON Troy Hansen

(920) 563-4869

FAX: (920) 563-8558 		DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI LOURDES

310538 		Community Based Residential Facility 140 S KRANZ AVE
JEFFERSON, WI 53549 		JEFFERSON Shannon Hammer

(920) 674-8215

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI SAN DAMIANO

310540 		Community Based Residential Facility 128 S KRANZ AVE
JEFFERSON, WI 53549 		JEFFERSON Erica Bailey

(920) 674-8230

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI ST AGNES

310542 		Community Based Residential Facility 900 E RACINE ST
JEFFERSON, WI 53549 		JEFFERSON Shannon Hammer

(920) 674-8230

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI ST ISIDORE

310548 		Community Based Residential Facility 124 ORCHARD VIEW COURT
JEFFERSON, WI 53549 		JEFFERSON Shannon Hammer

(920) 674-8230

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI ST JOHN THE BAPTIST

310549 		Community Based Residential Facility W5078 HWY 18
JEFFERSON, WI 53549 		JEFFERSON Shannon Hammer

(920) 674-8230

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI ST MICHAEL

310551 		Community Based Residential Facility 822 E RACINE ST
JEFFERSON, WI 53549 		JEFFERSON Erica Bailey

(920) 691-2791

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
HIL LINDEN CORNER

0009792 		Community Based Residential Facility 325 W BLACKHAWK DR
FORT ATKINSON, WI 53538 		JEFFERSON Laura Ladwig

(920) 563-4783

FAX: (920) 563-6496 		DEVELOPMENTALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
HIL WILLOW COURT

0009795 		Community Based Residential Facility 575 BLACKHAWK DR
FORT ATKINSON, WI 53538 		JEFFERSON Laura Ladwig

(920) 568-1519

FAX: (920) 563-6496 		DEVELOPMENTALLY DISABLED, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
OAK GROVE CBRF

0013156 		Community Based Residential Facility W3343 HOFFMAN RD
FORT ATKINSON, WI 53538 		JEFFERSON Troy Hansen

(262) 593-5508

FAX: (920) 563-8558 		DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, EMOTIONALLY DISTURBED/MENTAL ILLNESS, HCBS COMPLIANCE / PUBLIC FUNDING
SUNSET RIDGE MEMORY CARE

0015292 		Community Based Residential Facility 816 E REINEL ST
JEFFERSON, WI 53549 		JEFFERSON Angela Douglas

(920) 541-3660

FAX: (920) 541-3538 		ADVANCED AGED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
GOLDEN EAGLE CBRF

0012778 		Community Based Residential Facility 216 W BLACKHAWK DR
FORT ATKINSON, WI 53538 		JEFFERSON Troy Hansen

(920) 397-7292

FAX: (920) 563-8558 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI JACOBA

0012782 		Community Based Residential Facility 640 E THEODORE ST
JEFFERSON, WI 53549 		JEFFERSON Shannon Hammer

(920) 674-8230

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI TAU

0012786 		Community Based Residential Facility 621 E SPRING ST
JEFFERSON, WI 53549 		JEFFERSON Shannon Hammer

(920) 674-8230

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
EAST HAVEN

0018562 		Community Based Residential Facility 208 EAST HAVEN
WATERTOWN, WI 53904 		JEFFERSON Patricia Sanchez

(920) 206-9393

FAX: (920) 206-9365 		DEVELOPMENTALLY DISABLED, ALCOHOL/DRUG DEPENDENT, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
FALCONS NEST CBRF

0012983 		Community Based Residential Facility 160 W BLACKHAWK DR
FORT ATKINSON, WI 53538 		JEFFERSON Troy Hansen

(920) 568-8966

FAX: (920) 563-8558 		DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, HCBS COMPLIANCE / PUBLIC FUNDING
ST COLETTA OF WI DOWER CBRF

0013042 		Community Based Residential Facility 528 S KRANZ AVE
Jefferson, WI 53549 		JEFFERSON Shannon Hammer

(920) 674-8230

FAX: (920) 674-8457 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
DIMENSIONS LIVING JEFFERSON

310666 		Community Based Residential Facility 279 N JACKSON AVE
JEFFERSON, WI 53549 		JEFFERSON Carissa Murphy

(920) 674-0698

FAX: (920) 674-3689 		ADVANCED AGED, PHYSICALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
STEPPING STONE CBRF

0012335 		Community Based Residential Facility 318 N MAIN ST
FORT ATKINSON, WI 53538 		JEFFERSON Troy Hansen

(920) 563-8554

FAX: (920) 563-8558 		DEVELOPMENTALLY DISABLED, ALCOHOL/DRUG DEPENDENT, EMOTIONALLY DISTURBED/MENTAL ILLNESS, HCBS COMPLIANCE / PUBLIC FUNDING
PINNACLE ASSISTED LIVING SERVICES ROLLING MEADOWS

0018906 		Community Based Residential Facility N464 Poeppel Rd
Fort Atkinson, WI 53538 		JEFFERSON Teegan Robers

(920) 728-0554

FAX: (262) 458-2422 		DEVELOPMENTALLY DISABLED, ALCOHOL/DRUG DEPENDENT, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
TIMBERWOOD LODGE LAKE MILLS

0018891 		Community Based Residential Facility 510 Owen Street
Lake Mills, WI 53551 		JEFFERSON Jeremy Wiese

(608) 497-3010

FAX: (608) 497-3008 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, TERMINALLY ILL, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
LILAC SPRINGS ASSISTED LIVING LLC

0019044 		Community Based Residential Facility 403 ONeil Street
Lake Mills, WI 53551 		JEFFERSON Desiree Dyle

(920) 945-0040

FAX: (920) 945-2012 		ADVANCED AGED, TERMINALLY ILL, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
VICTORY VISION COMMUNITY LIVING NORTH

0018367 		Community Based Residential Facility 734 NORTH MONROE STREET
WATERLOO, WI 53594 		JEFFERSON Zelda Corona

(920) 478-8034

FAX: (414) 616-0729 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
VICTORY VISION COMMUNITY LIVING EAST

0018368 		Community Based Residential Facility 968 E MADISON STREET
WATERLOO, WI 53594 		JEFFERSON Zelda Corona

(920) 478-8107

FAX: (414) 616-0729 		ADVANCED AGED, DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
LAKEHOUSE LAKE MILLS

0019877 		Community Based Residential Facility 300 ONEIL ST
LAKE MILLS, WI 53551 		JEFFERSON Sadi Buzdum

(920) 648-5760

FAX: (920) 648-4082 		ADVANCED AGED, PHYSICALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
CLOVERCREST

0018569 		Community Based Residential Facility 503 CLOVERCREST COURT
WATERTOWN, WI 53094 		JEFFERSON Patricia Faulhaber

(920) 390-4431

FAX: (920) 390-4432 		DEVELOPMENTALLY DISABLED, ALCOHOL/DRUG DEPENDENT, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
REENA SENIOR LIVING

0017764 		Community Based Residential Facility 737 REENA AVE
FORT ATKINSON, WI 53538 		JEFFERSON Jennifer Bratz

(920) 542-1521

FAX: (920) 542-1525 		ADVANCED AGED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
RESCARE HYER

0016942 		Community Based Residential Facility 411 HYER DRIVE
JEFFERSON, WI 53549 		JEFFERSON Nicole Delaware

(920) 674-3060

FAX: (920) 674-3088 		DEVELOPMENTALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
VIEW AT JOHNSON CREEK (THE)

0018030 		Community Based Residential Facility 1 HARTWIG DRIVE
JOHNSON CREEK, WI 53038 		JEFFERSON Brielle Gettelman

(920) 309-8480

FAX: (920) 234-1130 		ADVANCED AGED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
JEFFERSON MEMORY CARE LLC

0015378 		Community Based Residential Facility 414 COUNTY HWY Y
JEFFERSON, WI 53549 		JEFFERSON Emma Bryson

(920) 541-3520

FAX: (920) 541-3524 		ADVANCED AGED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
SUNSET RIDGE JEFFERSON

0016540 		Community Based Residential Facility 826 REINEL STREET
JEFFERSON, WI 53549 		JEFFERSON Angela Douglas

(920) 541-6660

ADVANCED AGED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
RESCARE 141 MICHELLE

0016945 		Community Based Residential Facility 141 MICHELLE DR
JOHNSON CREEK, WI 53038 		JEFFERSON Nicole Delaware

(920) 699-3117

FAX: (920) 699-3119 		DEVELOPMENTALLY DISABLED, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING
SUNSET RIDGE ASSISTED LIVING

0014539 		Community Based Residential Facility 1275 REMMEL DRIVE
JOHNSON CREEK, WI 53038 		JEFFERSON Angela Douglas

(920) 699-1275

FAX: (920) 699-1277 		ADVANCED AGED, TERMINALLY ILL, IRREVERSIBLE DEMENTIA/ALZHEIMER'S, HCBS COMPLIANCE / PUBLIC FUNDING
MY PLACE OF WATERTOWN

0016727 		Community Based Residential Facility N8761 OVERLAND DRIVE
WATERTOWN, WI 53094 		JEFFERSON Colin Whitney

(414) 962-5999

DEVELOPMENTALLY DISABLED, PHYSICALLY DISABLED, EMOTIONALLY DISTURBED/MENTAL ILLNESS, TRAUMATIC BRAIN INJURY, HCBS COMPLIANCE / PUBLIC FUNDING

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