Organization
DEVEREUX FOUNDATION
Active
Organization
DEVEREUX FOUNDATION
Active
Parent organization
DEVEREUX FOUNDATION
Other names
CIDDS Corwen Terrace
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEVEREUX FOUNDATION
Authorized official
FRAN WAGNER (NATIONAL DIRECTOR OF AR)
(610) 542-3084
Entity
Organization
Contact information
Practice address
225 CORWEN TER, WEST CHESTER, PA 19380-1145
(610) 431-8100
(610) 431-3155
Mailing address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406-2786
(610) 542-3064
(610) 542-3191
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
111920
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000019130527
—
PA
Enumeration date
12/01/2011
Last updated
12/01/2011
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