Organization
THE DEVEREUX FOUNDATION
Active
Other names
Donovan
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE R DRY J.D. (REIMBURSEMENT ANALYST)
(610) 542-3074
Entity
Organization
Contact information
Practice address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2786
(610) 542-3074
Mailing address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2786
(610) 542-3074
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
132890
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000019130725
—
PA
Enumeration date
11/04/2013
Last updated
11/04/2013
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