Organization
DEVELOPMENTAL RESOURCES, INC.
Active
Other names
Krysilis, Inc.-Indian Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT V ABERG (EXECUTIVE DIRECTOR)
(641) 585-5450
Entity
Organization
Contact information
Practice address
138 INDIAN AVE, FOREST CITY, IA 50436-2321
(641) 585-5502
Mailing address
905 HIGHWAY 69 S, FOREST CITY, IA 50436-2100
(641) 585-3050
(641) 585-3939
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
950057
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880690
—
IA
01
—
IA00552
SUBMITTER ID
IA
Enumeration date
02/07/2006
Last updated
08/22/2020
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