Pa Cidds-King Road B
LBN: The Devereux Foundation
Pa Cidds-King Road B is an health care organization with primary practice located at 791B King Rd , West Chester PA 19380-1418. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
The Devereux Foundation can be contacted via phone (610) 542-3042, or through Hall, Denisha via phone (610) 542-3042.
Contact Information
Primary practice address
791B King Rd
West Chester PA 19380-1418
Phone: (610) 542-3042
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | 131520 | Pennsylvania |
Profile Details
| NPI number | 1063804466 |
|---|---|
| LBN Legal business name | The Devereux Foundation |
| DBA Doing business as | Pa Cidds-King Road B |
| Authorized official | Hall, Denisha |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2015 |
| Last updated | Feb 23rd, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063804466 | NPPES |
| Pennsylvania | MEDICAID | 1000019130727 |
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