Jack Mabley Dvelopmental Center

NPI #1104961820 in Dixon, Illinois

Provider Information

NPI Number: 1104961820
Entity Type: Organization
Organization Name: Jack Mabley Dvelopmental Center
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 20, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 1120 WASHINGTON AVE
City: Dixon
State: Illinois
ZIP Code: 61021-1258
Phone: (815) 288-8331

Authorized Official

Name: MS. SHARON DEBERRY
Title: CENTER DIRECTOR
Phone: (815) 288-8330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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Jack Mabley Developmental Center	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Dixon	AI Deep Dive
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