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DEVEREUX FOUNDATION - WHITLOCK

Adult Care Home

Berwyn, Pennsylvania

Provider NPI: 1073645743

Organization Information:
Organization Name:  DEVEREUX FOUNDATION - WHITLOCK


Practice Location:
139 LEOPARD RD  BERWYN, PA 19312 US
Tel: 610-296-6800  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
PA198110

Other Provider Identifiers:

IssuerNumberStateType
1000019130005PA05
1000019130006PA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS PA - Page 1