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Jack Mabley Dvelopmental Center
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Dixon, Illinois
NPI 1104961820

Jack Mabley Dvelopmental Center is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Dixon, IL. Jack Mabley Dvelopmental Center practices in Dixon, IL. The NPI Number for Jack Mabley Dvelopmental Center is 1104961820 and holds a License No. (Illinois).

The current practice location address for Jack Mabley Dvelopmental Center is 1120 Washington Ave, Dixon, IL and can be reached out via phone at 815-288-8331 and via fax at 815-288-7275.

Location: 1120 Washington Ave, Dixon, IL, 61021-1258
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104961820
Provider Name
Jack Mabley Dvelopmental Center
Credential
Provider Entity Type
Organization
Address
1120 Washington Ave, Dixon, IL, 61021-1258
Phone Number
815-288-8331
Fax Number
815-288-7275
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376525204 01 IL CENTER NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
1120 Washington Ave
City
Dixon
State
Illinois
Zip
61021-1258
Phone Number
815-288-8331
Fax Number
815-288-7275
person
Provider Business Mailing Address Details
Address
1120 Washington Ave
City
Dixon
State
Illinois
Zip
61021-1258
Phone Number
815-288-8331
Fax Number
815-288-7275
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(Illinois)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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