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Devereux Bridgeton
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bridgeton, New Jersey
NPI 1770969065

Devereux Bridgeton is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in West Deptford, NJ. Devereux Bridgeton practices in Bridgeton, NJ. The NPI Number for Devereux Bridgeton is 1770969065 and holds a License No. (New Jersey).

The current practice location address for Devereux Bridgeton is 198 Roadstown Rd, Bridgeton, NJ and can be reached out via phone at 856-599-6400 and via fax at 856-599-6404.

Location: 198 Roadstown Rd, Bridgeton, NJ, 08066-1738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770969065
Provider Name
Devereux Bridgeton
Credential
Provider Entity Type
Organization
Address
198 Roadstown Rd, Bridgeton, NJ, 08066-1738
Phone Number
856-599-6400
Fax Number
856-599-6404
Provider Enumeration Date
08/10/2015
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
198 Roadstown Rd
City
Bridgeton
State
New Jersey
Zip
08302-5747
Phone Number
856-599-6400
Fax Number
856-599-6404
person
Provider Business Mailing Address Details
Address
198 Roadstown Rd
City
Bridgeton
State
New Jersey
Zip
08302-5747
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.
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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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