Devereux Foundation Fareforth

NPI #1639292691 in Berwyn, Pennsylvania

Provider Information

NPI Number
1639292691
Entity Type
Organization
Organization Name
Devereux Foundation Fareforth
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 6, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
51 LEOPARD RD
City
Berwyn
ZIP Code
19312-1882
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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