Organization
THE DEVEREUX FOUNDATION
Active
Other names
Lisa Lane
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DUNNE (SR. VP & CFO)
(610) 542-3063
Entity
Organization
Contact information
Practice address
487 LISA LANE, EXTON, PA 19341
(610) 542-3042
Mailing address
487 LISA LANE DRIVE, EXTON, PA 19341
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
121670
PA
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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