Organization
DEVEREUX FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE HOWELL (DIRECTOR OF FINANCE)
(570) 839-6151
Entity
Organization
Contact information
Practice address
604 GLEN CIRCLE DR, TOBYHANNA, PA 18466-8300
(570) 839-6151
(570) 676-4586
Mailing address
604 GLEN CIRCLE DR, TOBYHANNA, PA 18466-8300
(570) 839-6151
(570) 676-4586
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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