Developmental Resources, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Nevada, IA
NPI 1104892298 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104892298
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 850442 (IA)
- Legal business name
- DEVELOPMENTAL RESOURCES, INC.
- Practice address
- 217 Maple Ave
Nevada, IA 50201-2523 - Phone
- (515) 382-6225
- NPI assigned
- Feb 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Brent V Aberg
- Title
- Executive Director
- Phone
- (641) 585-5450
Corporate family (same tax ID) 11
National Provider Directory
- Tax ID family
- Developmental Resources Inc
Locations
102 W Park St
Forest City, IA 50436
Phone (641) 585-3050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 850442 | IA | Yes |
Addresses
Primary practice location
217 Maple Ave
Nevada, IA 50201-2523
Mailing address
102 W Park St
Forest City, IA 50436-2132
Phone (641) 585-5450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IA04210 | Other | IA | SUBMITTER ID |
| 0881284 | Medicaid | IA |
Other names
- Krysilis, Inc.-Nevada 3
Other providers in Nevada, IA
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- Kelly L Check
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- Nicholas Dahlke
- Developmental Resources, Inc.
- Developmental Resources, Inc.
- Developmental Resources, Inc.
- Lauren Devereaux
- Kristian Lee Dugger
All providers in Nevada, IA · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.