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Organization
THE DEVEREUX FOUNDATION
Active
Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MOSCUFO (REIMBURSEMENT ANALYST)
(610) 542-3131
Entity
Organization
Contact information
Practice address
160 DEVEREUX RD, BRANDYWINE RTF - SHRADER, GLENMOORE, PA 19343-1615
(610) 935-6789
Mailing address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2786
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
181900
PA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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