Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT DUNNE (CONTROLLER)
(610) 542-3063
Entity
Organization
Contact information
Practice address
1547 MILL CREEK RD, NEWFOUNDLAND, PA 18445-5239
(570) 676-4229
Mailing address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2786
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
201440
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000019130023
—
PA
05
—
1000019130329
—
PA
Enumeration date
01/18/2007
Last updated
08/22/2020
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