Provider Demographics
NPI:1285186254
Name:DORR-WOOD LTD
Entity Type:Organization
Organization Name:DORR-WOOD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-338-6440
Mailing Address - Street 1:600 BORDEN ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:IL
Mailing Address - Zip Code:60098-2137
Mailing Address - Country:US
Mailing Address - Phone:815-338-6440
Mailing Address - Fax:815-338-6803
Practice Address - Street 1:1001 RAIL DR
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:IL
Practice Address - Zip Code:60098-9411
Practice Address - Country:US
Practice Address - Phone:815-337-7010
Practice Address - Fax:815-337-7127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services