Organization · Type 2 NPI
The Devereux Foundation
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Manchester, NJ
Practice location
713 Northhampton Boulevard
Manchester, NJ 08759
Fax (856) 599-6404
Mailing address
286 Mantua Grove Road, Building #4
West Deptford, NJ 08066
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | GH1817 (NJ) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1891229563
The Devereux Foundation's National Provider Identifier is 1891229563, issued on Apr 19, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Manchester, NJ. The record was last updated on Apr 19, 2017.