Organization
DEVEREUX FOUNDATION
Active
Other names
The Devereux Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KALBACH (LEAD CONTRACTS ANALYST)
(610) 542-3042
Entity
Organization
Contact information
Practice address
1300 SHIP RD, WEST CHESTER, PA 19380-1308
(610) 431-9651
(610) 542-3191
Mailing address
1300 SHIP RD, WEST CHESTER, PA 19380-1308
(610) 431-9651
(610) 542-3191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
PA
261QD0000X
Dental Clinic/Center
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000019130348
—
PA
Enumeration date
10/25/2007
Last updated
03/07/2024
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