Devereux Kanner in King Of Prussia - Community Based Residential Treatment Facility, Mental Illness
Devereux Kanner - NPI 1073637765
Devereux Kanner is a Community Based Residential Treatment Facility, Mental Illness in King Of Prussia, Pennsylvania. Devereux Kanner practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Devereux Kanner is 1073637765. The last update date is 2020-08-22.
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 | 1073637765 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2020-08-22 |
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 | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 195970 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10553 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Devereux Kanner by the Centers for Medicare & Medicaid Services?
The Devereux Kanner has been assigned the NPI (National Provider Identifier) 1073637765 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Devereux Kanner is located?
The Devereux Kanner is situated at the following address: 2012 Renaissance Blvd, King Of Prussia, PA, 194062786.
What is Devereux Kanner's area of expertise and its corresponding taxonomy classification?
The Devereux Kanner's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Devereux Kanner receive its 1073637765 assignment from the Centers for Medicare & Medicaid Services?
The Devereux Kanner was assigned its 1073637765 by the Centers for Medicare & Medicaid Services on 2007-03-19.
As of what date was the information pertaining to Devereux Kanner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Devereux Kanner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.