Developmental Resources, Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Forest City, IA
NPI 1356314801 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1356314801
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 950057 (IA)
- Legal business name
- DEVELOPMENTAL RESOURCES, INC.
- Practice address
- 138 Indian Ave
Forest City, IA 50436-2321 - Phone
- (641) 585-5502
- NPI assigned
- Feb 7, 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 950057 | IA | Yes |
Addresses
Primary practice location
138 Indian Ave
Forest City, IA 50436-2321
Mailing address
905 Highway 69 S
Forest City, IA 50436-2100
Phone (641) 585-3050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0880690 | Medicaid | IA | |
| IA00552 | Other | IA | SUBMITTER ID |
Other names
- Krysilis, Inc.-Indian Avenue
Other providers in Forest City, IA
- Byron H Carlson
- Robin Frances Charlson
- Alyssa Clasen
- County of Winnebago
- County of Winnebago
- Developmental Resources, Inc.
- Developmental Resources, Inc.
- Donald W. Furman, P.C.
- Eastern Iowa Therapeutics PC
- Molly Eichenberger
All providers in Forest City, 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.