Ship Road

LBN: The Devereux Foundation
Ship Road is an health care organization with primary practice located at 1325 Ship Rd , West Chester PA 19380-1335. 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. The Devereux Foundation can be contacted via phone (610) 431-8191, or through Dry, Catie via phone (610) 542-3074.

Contact Information

Primary practice address
1325 Ship Rd West Chester PA 19380-1335
Phone: (610) 431-8191
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dry, Catie
Phone: (610) 542-3074

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X 195960 Pennsylvania

Profile Details

NPI number 1811310758
LBN Legal business name The Devereux Foundation
DBA Doing business as Ship Road
Authorized official Dry, Catie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2014
Last updated Jan 29th, 2014 - about 10 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 1811310758 NPPES
Pennsylvania MEDICAID 1000019130719

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