THE DEVEREUX FOUNDATION; NPI #1205361839

Contact Information

THE DEVEREUX FOUNDATION

1175 DEHIRSCH AVENUE
APT A
WOODBINE, NJ 08270

Phone: 856-599-6400
Fax: 856-599-6404
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X

Indicates primary specialty

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NPI Profile & details for THE DEVEREUX FOUNDATION

NPI Number 1205361839

LBN Legal business name THE DEVEREUX FOUNDATION

Authorized official CAROLE CIRUCCI - (DIRECTOR OF FINANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/20/2017

Last updated 04/20/2017 - About 9 years ago

Identifiers

NJ	License #	GH1962
NJ	Medicaid	0399507

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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THE DEVEREUX FOUNDATION

Contact Information

Specialty

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

NPI Profile & details for THE DEVEREUX FOUNDATION

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