Devereux Kanner in King Of Prussia - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Devereux Kanner - NPI 1396869079
Devereux Kanner is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in King Of Prussia, Pennsylvania. Devereux Kanner practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Devereux Kanner is 1396869079. The last update date is 2011-06-10.
Devereux Kanner's current location address is 2012 Renaissance Blvd, King Of Prussia, Pennsylvania. You can contact this provider via phone number 6105423084 and fax number 6105423191. The mailing address for Devereux Kanner is 2012 Renaissance Blvd, King Of Prussia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Devereux Kanner |
|---|---|
| Address | 2012 Renaissance Blvd, King Of Prussia, Pennsylvania |
| Phone Number | 6105423084 |
| Fax Number | 6105423191 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | NATIONAL D |
|---|---|
| Authorized Official Name | Wagner Fran |
| Telephone Number | 6105423084 |
NPI Number Detail
| NPI Number | 1396869079 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2011-06-10 |
Provider Mailing Address Detail
| Address | 2012 Renaissance Blvd |
|---|---|
| City | King Of Prussia |
| State | Pennsylvania (PA) |
| Post Code | 194062786 |
| Phone Number | 6105423084 |
| Fax Number | 6105423191 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 126010 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10481 | NJ | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Devereux Kanner by the Centers for Medicare & Medicaid Services (CMS)?
The Devereux Kanner has been assigned the NPI (National Provider Identifier) 1396869079. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Devereux Kanner's facilities are situated?
The facilities of Devereux Kanner are physically located at the following address: 2012 Renaissance Blvd, King Of Prussia, PA, 194062786.
What is the Devereux Kanner's specialty and taxonomy code?
The Devereux Kanner's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396869079 to Devereux Kanner?
The Centers for Medicare & Medicaid Services originally issued the 1396869079 to Devereux Kanner on 2007-03-19.
When was the information regarding Devereux Kanner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Devereux Kanner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-06-10.