Provider Demographics
NPI:1962859959
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:
Authorized Official - First Name:DARLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAINLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-583-5801
Mailing Address - Street 1:104 S MCKINLEY AVE STE E
Mailing Address - Street 2:
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 STE E
Practice Address - Street 2:
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:2016-05-19
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities