Devereux Foundation Country Club
NPI #1104949163 in Phoenixville, Pennsylvania
Provider Information
- NPI Number
- 1104949163
- Entity Type
- Organization
- Organization Name
- Devereux Foundation Country Club
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 755 COUNTRY CLUB RD
- City
- Phoenixville
- State
- Pennsylvania
- ZIP Code
- 19460-2725
- Phone
- (610) 296-6800
Authorized Official
- Name
- FRAN WAGNER
- Title
- NATIONAL ACCTS RECEIVABLE DIRECTOR
- Phone
- (610) 542-3084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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