Provider Demographics
NPI:1770034167
Name:DEVELOPMENTAL SERVICES OF FRANKLIN COUNTY INC
Entity Type:Organization
Organization Name:DEVELOPMENTAL SERVICES OF FRANKLIN COUNTY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAINLINE
Authorized Official - Suffix:
Authorized Official - Credentials:MABCBALBA
Authorized Official - Phone:636-583-5801
Mailing Address - Street 1:104 S MCKINLEY AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-1800
Mailing Address - Country:US
Mailing Address - Phone:636-583-5801
Mailing Address - Fax:636-583-5597
Practice Address - Street 1:104 S MCKINLEY AVE
Practice Address - Street 2:SUITE E
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1800
Practice Address - Country:US
Practice Address - Phone:636-583-5801
Practice Address - Fax:636-583-5597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016035609251C00000X, 251S00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No252Y00000XAgenciesEarly Intervention Provider Agency