LANCE CORY DEVERO NPI 1811667173

NPI Information

NPI: 1811667173
Provider Name: LANCE CORY DEVERO
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Individual
Address:
8406 S 49TH LN
LAVEEN, AZ
ZIP 85339
Phone: (215) 678-7702
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Lance Cory Devero is a residential treatment facility emotionally disturbed children in Laveen, AZ. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. Lance Cory Devero NPI is 1811667173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8406 S 49TH LN
LAVEEN, AZ
ZIP 85339-159
Phone: (215) 678-7702

The enumeration date for this NPI number is 9/17/2021 and was last updated on 9/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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