Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LYLES (NATIONAL DIRECTOR OF ACCOUNTS RECEI)
(267) 637-4536
Entity
Organization
Contact information
Practice address
3185 PREMIER DR, BROOKSVILLE, FL 34604-8305
(813) 460-4451
Mailing address
5850 T G LEE BLVD STE 400, ORLANDO, FL 32822-4409
(407) 362-9210
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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