Devereux Nj

LBN: The Devereux Foundation
Devereux Nj is an health care organization with primary practice located at 286 Mantua Grove Rd Building 4, West Deptford NJ 08066-1738. 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 (856) 599-6400, or through Wagner, Fran via phone (610) 542-3084.

Contact Information

Primary practice address
286 Mantua Grove Rd Building 4 West Deptford NJ 08066-1738
Fax: (856) 599-6401
Website:
Authorized official contact:
Name: Wagner, Fran

Profile Details

NPI number 1902132111
LBN Legal business name The Devereux Foundation
DBA Doing business as Devereux Nj
Authorized official Wagner, Fran
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2009
Last updated Oct 22nd, 2009 - about 16 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 1902132111 NPPES
New Jersey MEDICAID 0203246

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