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Organization

DEVELOPMENTAL PLANNING & SERVICES INC

Active
Other names
OUR PLACE
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS K HEADLEE (PRESIDENT)
(618) 244-7701
Entity
Organization

Contact information

Practice address
301 N 13TH ST, MURPHYSBORO, IL 62966-2000
(618) 687-1415
(618) 684-4361
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
0050211
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0050211
STATE OF ILLINOIS DEPARTMENT OF PUBLIC HEALTH
IL
01
14G137
PROVIDER IDENTIFICATION #
IL
01
6007017
FACILITY ID
IL
Enumeration date
11/14/2008
Last updated
11/18/2008
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