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Devereux Foundation Country Club
Intellectual Disabilities Intermediate Care Facility in Phoenixville, Pennsylvania
NPI 1104949163

Devereux Foundation Country Club is a Intellectual Disabilities Intermediate Care Facility based in King Of Prussia, PA. Devereux Foundation Country Club practices in Phoenixville, PA. The NPI Number for Devereux Foundation Country Club is 1104949163 and holds a License No. 504640 (Pennsylvania).

The current practice location address for Devereux Foundation Country Club is 755 Country Club Rd, Phoenixville, PA and can be reached out via phone at 610-296-6800 and via fax at 610-251-2013.

Location: 755 Country Club Rd, Phoenixville, PA, 19406-2786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104949163
Provider Name
Devereux Foundation Country Club
Credential
Provider Entity Type
Organization
Address
755 Country Club Rd, Phoenixville, PA, 19406-2786
Phone Number
610-296-6800
Fax Number
610-251-2013
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000019130308 05 PA
institution
Provider Business Practice Location Address Details
Address
755 Country Club Rd
City
Phoenixville
State
Pennsylvania
Zip
19460-2725
Phone Number
610-296-6800
Fax Number
610-251-2013
person
Provider Business Mailing Address Details
Address
755 Country Club Rd
City
Phoenixville
State
Pennsylvania
Zip
19460-2725
Phone Number
610-296-6800
Fax Number
610-251-2013
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
504640 (Pennsylvania)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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