Organization
DEVELOPMENTAL RESOURCES, INC.
Active
Other names
Krysilis, Inc.-Ashwood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT V ABERG (EXECUTIVE DIRECTOR)
(641) 585-5450
Entity
Organization
Contact information
Practice address
825 S 7TH ST, FOREST CITY, IA 50436-2127
(641) 585-2377
Mailing address
102 W PARK ST, FOREST CITY, IA 50436-2132
(641) 585-5450
(641) 585-3402
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
950507
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880591
—
IA
01
—
IA04205
SUBMITTER ID
IA
Enumeration date
02/27/2006
Last updated
08/22/2020
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