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Organization
DEVELOPMENTAL PLANNING & SERVICES INC
Active
Organization
DEVELOPMENTAL PLANNING & SERVICES INC
Active
Other names
DYBALL SUNSHINE HOME
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS K HEADLEE (PRESIDENT)
(618) 244-7701
Entity
Organization
Contact information
Practice address
RR 3 BOX 601, FAIRFIELD, IL 62837-9565
(618) 842-4833
(618) 842-2529
Mailing address
PO BOX 2369, MOUNT VERNON, IL 62864-0046
(618) 244-7701
(618) 244-7704
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
0031021
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031021
LG TERM CARE ICFDD16
IL
01
—
14G142
PROVIDER IDENTIFICATION #
IL
01
—
6002620
FACILITY ID
IL
Enumeration date
01/18/2007
Last updated
11/17/2008
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