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THE DEVEREUX FOUNDATION NPI 1831526409


NPI Information

NPI: 1831526409
Provider Name: THE DEVEREUX FOUNDATION

Other Name: KING ROAD A

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
791A KING RD
WEST CHESTER, PA
ZIP 19380
Phone: (610) 542-3074
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THE DEVEREUX FOUNDATION is a community based residential treatment facility, intellectual and/or developmental disabilities in West Chester, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. THE DEVEREUX FOUNDATION NPI is 1831526409. The provider is registered as an organization entity type.
The provider Other Name Is King Road A.

The provider's business location address is:

791A KING RD
WEST CHESTER, PA
ZIP 19380-418
Phone: (610) 542-3074

The provider's authorized official is Catherine Dry .
The authorized official title is Reimbursement Analyst and has the following contact phone number (610) 542-3074.

The enumeration date for this NPI number is 9/27/2013 and was last updated on 9/27/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities112230PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100001913726MEDICAIDPENNSYLVANIA

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: 4/28/2024

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