Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J MURPHY (EXECUTIVE DIRECTOR)
(407) 362-9210
Entity
Organization
Contact information
Practice address
442 GALLAGHER ST SW, PALM BAY, FL 32908-4727
(321) 709-2164
Mailing address
442 GALLAGHER ST SW, PALM BAY, FL 32908-4727
(321) 709-2164
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672473696
—
FL
Enumeration date
02/26/2016
Last updated
02/26/2016
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