Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATE J. KACUR (BUSINESS OFFICE MANAGER)
(845) 758-1899
Entity
Organization
Contact information
Practice address
1374 OLD POST RD, VALATIE, NY 12184-5316
(845) 758-1899
(845) 758-0675
Mailing address
40 DEVEREUX WAY, RED HOOK, NY 12571-2268
(845) 758-1899
(845) 758-0675
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226017
—
NY
Enumeration date
04/07/2011
Last updated
05/18/2011
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