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Devereux Foundation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Palm Bay, Florida
NPI 1457711939

Devereux Foundation is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Palm Bay, FL. Devereux Foundation practices in Palm Bay, FL. The NPI Number for Devereux Foundation is 1457711939 and holds a License No. (Florida).

The current practice location address for Devereux Foundation is 442 Gallagher St Sw, Palm Bay, FL and can be reached out via phone at 321-709-2164.

Location: 442 Gallagher St Sw, Palm Bay, FL, 32908-4727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457711939
Provider Name
Devereux Foundation
Credential
Provider Entity Type
Organization
Address
442 Gallagher St Sw, Palm Bay, FL, 32908-4727
Phone Number
321-709-2164
Fax Number
Provider Enumeration Date
02/26/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
672473696 05 FL
institution
Provider Business Practice Location Address Details
Address
442 Gallagher St Sw
City
Palm Bay
State
Florida
Zip
32908-4727
Phone Number
321-709-2164
Fax Number
person
Provider Business Mailing Address Details
Address
442 Gallagher St Sw
City
Palm Bay
State
Florida
Zip
32908-4727
Phone Number
321-709-2164
Fax Number
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.
()
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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