Organization
THE DEVEREUX FOUNDATION
Active
Other names
Devereux Whitlock Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRAN WAGNER (NATIONAL ACCTS RECEIVABLE DIRECTOR)
(610) 542-3084
Entity
Organization
Contact information
Practice address
139 LEOPARD RD, BERWYN, PA 19312-1809
(610) 296-6800
(610) 251-2013
Mailing address
139 LEOPARD RD, BERWYN, PA 19312-1809
(610) 296-6800
(610) 251-2013
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
102780
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000019130415
—
PA
Enumeration date
02/08/2007
Last updated
08/22/2020
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