Organization
THE DEVEREUX FOUNDATION
Active
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
655 SUGARTOWN RD, MALVERN, PA 19355-0275
(800) 935-6789
(610) 251-2415
Mailing address
655 SUGARTOWN RD, BOX 275, MALVERN, PA 19355-0275
(800) 935-6789
(610) 251-2415
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
114190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0002464000
—
WV
05
—
1000019130411
—
PA
05
—
7433409
—
NJ
Enumeration date
12/14/2006
Last updated
07/08/2016
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