| Community Services Of Devereux | |
|
30 S Valley Rd Paoli PA 19301-1450 | |
| (610) 933-8110 | |
| (610) 933-7451 |
| Full Name | Community Services Of Devereux |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30 S Valley Rd, Paoli, Pennsylvania |
| Authorized Official Name and Position | Joseph Mclaughlin (BUSINESS MANAGER) |
| Authorized Official Contact | 6109338110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Services Of Devereux 30 S Valley Rd Paoli PA 19301-1450 Ph: (610) 933-8110 | Community Services Of Devereux 30 S Valley Rd Paoli PA 19301-1450 Ph: (610) 933-8110 |
| NPI Number | 1164632451 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164632451 | NPI | - | NPPES |
| 100001913 0379 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 102150 (Pennsylvania) | Primary |
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