Whitlock Country Club

LBN: Devereux Foundation Country Club
Whitlock Country Club is an health care organization with primary practice located at 755 Country Club Rd , Phoenixville PA 19460-2725. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Devereux Foundation Country Club can be contacted via phone (610) 296-6800, or through Wagner, Fran via phone (610) 542-3084.

Contact Information

Primary practice address
755 Country Club Rd Phoenixville PA 19460-2725
Phone: (610) 296-6800
Fax: (610) 251-2013
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Fran
Phone: (610) 542-3084

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 504640 Pennsylvania

Profile Details

NPI number 1104949163
LBN Legal business name Devereux Foundation Country Club
DBA Doing business as Whitlock Country Club
Authorized official Wagner, Fran
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104949163 NPPES
Pennsylvania MEDICAID 1000019130308

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