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NPI Code Detail

MEDICARE: DEVELOPMENTAL SERVICES, INC.

MEDICARE: DEVELOPMENTAL SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1154409118
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEVELOPMENTAL SERVICES, INC.
Provider Business Mailing Address
First Line : 2920 10TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-6602
Country : US
Telephone Number : 812-376-9404
Fax Number : 812-378-2858
Provider Business Practice Location Address
First Line : 2920 10TH ST
Second Line :
City : COLUMBUS
State : IN
Zip : 47201-6602
Country : US
Telephone Number : 812-376-9404
Fax Number : 812-378-2858
Authorized Official
Title or Position : CEO
Name : MR. WILLIAM K. HADAR
Credential :
Telephone Number : 812-376-9404
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/22/2020

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