Jack Mabley Developmental Center

LBN: Illinois Department Of Human Services
Jack Mabley Developmental Center is an health care organization with primary practice located at 1120 Washington Ave , Dixon IL 61021-1258. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Illinois Department Of Human Services can be contacted via phone (815) 288-8301, or through Muhlstadt, Debra via phone (815) 288-8335.

Contact Information

Primary practice address
1120 Washington Ave Dixon IL 61021-1258
Phone: (815) 288-8301
Fax: (815) 288-8398
Website:
Map and Directions
Authorized official contact:
Name: Muhlstadt, Debra
Phone: (815) 288-8335

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 830600 Illinois

Profile Details

NPI number 1376525204
LBN Legal business name Illinois Department Of Human Services
DBA Doing business as Jack Mabley Developmental Center
Authorized official Muhlstadt, Debra
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Dec 22nd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers