Organization
THE DEVEREUX FOUNDATION
Active
Other names
Ship Road
Organization subpart
No
Provider details
NPI number
Authorized official
CATIE DRY (REIMBURSEMENT ANALYST)
(610) 542-3074
Entity
Organization
Contact information
Practice address
1325 SHIP RD, WEST CHESTER, PA 19380-1335
(610) 431-8191
Mailing address
PO BOX 490A, VILLANOVA, PA 19085-0290
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
195960
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000019130719
—
PA
Enumeration date
01/29/2014
Last updated
01/29/2014
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