Organization
THE DEVEREUX FOUNDATION
Active
Other names
Lisa Lane
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE DRY (REIMBURSEMENT ANALYST)
(610) 406-1637
Entity
Organization
Contact information
Practice address
487 LISA DR, WEST CHESTER, PA 19380-1303
(610) 431-8191
Mailing address
PO BOX 490A, VILLANOVA, PA 19085-0290
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
121670
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100019130724
—
PA
Enumeration date
02/06/2014
Last updated
02/06/2014
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