Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE HOWELL (DIRECTOR OF FINANCE)
(570) 839-6151
Entity
Organization
Contact information
Practice address
291 MOUNTAINVIEW RD, NEWFOUNDLAND, PA 18445-9627
(570) 839-6151
(570) 676-4586
Mailing address
1547 MILL CREEK RD, NEWFOUNDLAND, PA 18445-5239
(570) 839-6151
(570) 676-4586
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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