<Unavail>

LBN: The Devereux Foundation
<Unavail> is an health care organization with primary practice located at 2202 Halsey Street , Union NJ 07083. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. The Devereux Foundation can be contacted via phone (856) 599-6400, or through Cirucci, Carole via phone (856) 599-6429.

Contact Information

Primary practice address
2202 Halsey Street Union NJ 07083
Phone: (856) 599-6400
Fax: (856) 599-6404
Website:
Map and Directions
Authorized official contact:
Name: Cirucci, Carole
Phone: (856) 599-6429

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X GH1091 New Jersey

Profile Details

NPI number 1366976953
LBN Legal business name The Devereux Foundation
DBA Doing business as <Unavail>
Authorized official Cirucci, Carole
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2017
Last updated Apr 20th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366976953 NPPES
New Jersey MEDICAID 0399507

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