OrganizationActive
Devereux Foundation
NPI 1245371905 · Intellectual Disabilities Intermediate Care Facility · Berwyn, PA
Provider details
- NPI number
- 1245371905
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Fran Wagner, National Accts Reivable Director(610) 542-3084
- License
- 504260 (PA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
806 Maple Ave
Berwyn, PA 19312-1726
Phone: (610) 296-6800
Fax: (610) 251-2013
Approximate (ZIP-level) locationGet directions
Mailing address
139 Leopard Rd
Berwyn, PA 19312-1809
Other names (DBA / former)
- Other name
- Devereux Whitlock Center
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.