Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J MURPHY (EXECUTIVE DIRECTOR)
(407) 362-9210
Entity
Organization
Contact information
Practice address
4515 RIVERTON DR, ORLANDO, FL 32817-1451
(407) 239-8396
Mailing address
4515 RIVERTON DR, ORLANDO, FL 32817-1451
(407) 239-8396
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
672473696
—
FL
Enumeration date
02/11/2016
Last updated
02/11/2016
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