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The Devereux Foundation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Clementon, New Jersey
NPI 1164956769

The Devereux Foundation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in West Deptford, NJ. The Devereux Foundation practices in Clementon, NJ. The NPI Number for The Devereux Foundation is 1164956769 and holds a License No. GH1554 (New Jersey).

The current practice location address for The Devereux Foundation is 224 Godshalk Avenue, Clementon, NJ and can be reached out via phone at 856-599-6400 and via fax at 856-599-6404.

Location: 224 Godshalk Avenue, Clementon, NJ, 08066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164956769
Provider Name
The Devereux Foundation
Credential
Provider Entity Type
Organization
Address
224 Godshalk Avenue, Clementon, NJ, 08066
Phone Number
856-599-6400
Fax Number
856-599-6404
Provider Enumeration Date
04/20/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0399507 05 NJ
institution
Provider Business Practice Location Address Details
Address
224 Godshalk Avenue
City
Clementon
State
New Jersey
Zip
08021
Phone Number
856-599-6400
Fax Number
856-599-6404
person
Provider Business Mailing Address Details
Address
224 Godshalk Avenue
City
Clementon
State
New Jersey
Zip
08021
Phone Number
856-599-6400
Fax Number
856-599-6404
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
GH1554 (New Jersey)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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