institution
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
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
State
Zip
61021-1258
Phone Number
815-288-8331
Fax Number
815-288-7275
person
Provider Business Mailing Address Details
Address
1120 Washington Ave
City
State
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
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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