Organization · Type 2 NPI
Illinois Department of Human Services
Intellectual Disabilities Intermediate Care Facility · Dixon, IL
NPI number
1376525204
Active
Practice location
1120 Washington Ave
Dixon, IL 61021-1258
Fax (815) 288-8398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 830600 (IL) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
7 other providers at this address
- Jack Mabley Developmental CenterIntellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL NPI 1285779892
- Jack Mabley Developmental CenterIntellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL NPI 1326183948
- Jack Mabley Developmental CenterIntellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL NPI 1528103140
- Jack Mabley Developmental CenterIntellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL NPI 1619012234
- Jack Mabley Developmental CenterIntellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL NPI 1770628398
- Jack Mabley Developmental CenterIntellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL NPI 1831234475
- Jack Mabley Dvelopmental CenterIntellectual and/or Developmental Disabilities Residential Treatment Facility Dixon, IL NPI 1104961820
Other intellectual disabilities intermediate care facility providers in Dixon
About NPI 1376525204
Illinois Department of Human Services's National Provider Identifier is 1376525204, issued on Nov 16, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Dixon, IL. The record was last updated on Dec 22, 2016.