| NPI | 1821136821 |
|---|---|
| Other Name | SHAPIRO DEVELOPMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DEBRA MUHLSTADT Fiscal Administrator, Sodc Operatio 815-288-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2016-12-22 |