Kanner Laura Villa

LBN: Devereux Kanner
Kanner Laura Villa is an health care organization with primary practice located at 390 E Boot Rd , West Chester PA 19380-1222. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Devereux Kanner can be contacted via phone (610) 431-8100, or through Wagner, Fran via phone (610) 542-3084.

Contact Information

Primary practice address
390 E Boot Rd West Chester PA 19380-1222
Phone: (610) 431-8100
Fax: (610) 431-3155
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Fran
Phone: (610) 542-3084

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 112070 Pennsylvania

Profile Details

NPI number 1164546644
LBN Legal business name Devereux Kanner
DBA Doing business as Kanner Laura Villa
Authorized official Wagner, Fran
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 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 1164546644 NPPES
New Jersey MEDICAID 0010464

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