Organization · Type 2 NPI
The Devereux Foundation
Intellectual Disabilities Intermediate Care Facility · Hyde Park, NY
NPI number
1811048077
Active
Practice location
414 Gretna Rd
Hyde Park, NY 12538-2749
Fax (845) 758-0675
Mailing address
40 Devereux Way
Red Hook, NY 12571-2268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 8275440 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1811048077
The Devereux Foundation's National Provider Identifier is 1811048077, issued on Jan 15, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hyde Park, NY. The record was last updated on Sep 28, 2011.