Organization
THE DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN O'KEEFE (EXECUTIVE DIRECTOR)
(845) 758-1899
Entity
Organization
Contact information
Practice address
414 GRETNA RD, HYDE PARK, NY 12538-2749
(845) 758-1899
(845) 758-0675
Mailing address
40 DEVEREUX WAY, RED HOOK, NY 12571-2268
(845) 758-1899
(845) 758-0675
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
8275440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01226017
—
NY
Enumeration date
01/15/2007
Last updated
09/28/2011
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