Organization
DEVEREUX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN WALSH (EXECUTIVE DIRECTOR)
(856) 599-6410
Entity
Organization
Contact information
Practice address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406
(610) 542-3078
Mailing address
2012 RENAISSANCE BLVD, KING OF PRUSSIA, PA 19406
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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