Organization · Type 2 NPI
Devereux Foundation Fareforth
Intellectual Disabilities Intermediate Care Facility · Berwyn, PA
NPI number
1639292691
Active
Practice location
51 Leopard Rd
Berwyn, PA 19312-1882
Fax (610) 251-2013
Mailing address
2012 Renaissance Blvd
King Of Prussia, PA 19406-2786
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 504230 (PA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Berwyn
About NPI 1639292691
Devereux Foundation Fareforth's National Provider Identifier is 1639292691, issued on Apr 6, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Berwyn, PA. The record was last updated on Aug 22, 2020.