Organization
DEVEREUX FOUNDATION YEARSLEY
Active
Other names
Whitlock Yearsley
Organization subpart
No
Provider details
NPI number
Authorized official
FRAN WAGNER (NATIONAL ACCTS RECEIVABLE DIRECTOR)
(610) 542-3084
Entity
Organization
Contact information
Practice address
118 YEARSLEY MILL RD, MEDIA, PA 19063-5518
(610) 296-6800
(610) 251-2013
Mailing address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2786
(610) 542-3084
(610) 542-3084
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
504610
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000019130397
—
PA
Enumeration date
04/06/2007
Last updated
08/22/2020
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