Whalio Doctors

NPI 1124483458

The Devereux Foundation

Organisation Psychiatric Residential Treatment Facility Malvern, PA

Practice location

Address
655 Sugartown Rd Mapleton Rtf Carriage House, Malvern, PA 19355-3303
Phone
(610) 935-6789
Mailing address
2012 Renaissance Blvd, King of Prussia, PA 19406-2786

Authorised official

Name
Donna Moscufo
Title
Reimbursement Analyst
Phone
(610) 542-3131

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence 182970 (PA)

Registry record

NPI
1124483458
Entity type
Organization
NPI issued
31 Dec 2015
Record last updated
31 Dec 2015

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.