NPI 1104949163

Devereux Foundation Country Club

Organisation Intellectual Disabilities Intermediate Care Facility Phoenixville, PA

Practice location

Address: 755 Country Club Rd, Phoenixville, PA 19460-2725
Phone: (610) 296-6800
Fax: (610) 251-2013
Mailing address: 2012 Renaissance Blvd, King of Prussia, PA 19406-2786

Authorised official

Name: Fran Wagner
Title: National Accts Receivable Director
Phone: (610) 542-3084

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 504640 (PA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Pennsylvania →

Registry record

NPI: 1104949163
Entity type: Organization
NPI issued: 6 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.