Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FRAN WAGNER (NATIONAL DIRECTOR ACCOUNTS RECEIVAB)
(610) 542-3084
Entity
Organization
Contact information
Practice address
444 DEVEREUX DR, VILLANOVA, PA 19085-1932
(610) 520-3000
(610) 542-3191
Mailing address
444 DEVEREUX DR, VILLANOVA, PA 19085-1932
(610) 520-3000
(610) 542-3191
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001913
—
PA
Enumeration date
07/10/2012
Last updated
07/10/2012
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