DEVELOPMENTAL RESOURCS INC. NPI 1285600312

NPI Information

NPI: 1285600312
Provider Name: DEVELOPMENTAL RESOURCS, INC.

Doing Business As: KRYSILIS, INC.-WAIVER SVS

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
210 2ND ST NW
CLARION, IA
ZIP 50525
Phone: (515) 532-3221
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DEVELOPMENTAL RESOURCS, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Clarion, IA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DEVELOPMENTAL RESOURCS, INC. NPI is 1285600312. The provider is registered as an organization entity type.
The provider Is Doing Business As Krysilis, Inc.-waiver Svs.

The provider's business location address is:

210 2ND ST NW
CLARION, IA
ZIP 50525-005
Phone: (515) 532-3221
Fax: (515) 532-6630

The provider's authorized official is Brent V Aberg .
The authorized official title is Executive Director and has the following contact phone number (641) 585-5450.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0120543	MEDICAID	IOWA
2	IA03792	OTHER	IOWA	SUBMITTER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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