Devereux Kanner in King Of Prussia - Community Based Residential Treatment Facility, Mental Illness
Devereux Kanner - NPI 1245354026
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 1245354026. 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 | 1245354026 |
|---|---|
| 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 | 112090 |
|
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 |
|---|---|---|---|
| 10472 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Devereux Kanner by the Centers for Medicare & Medicaid Services?
The Devereux Kanner has been issued the NPI (National Provider Identifier) 1245354026, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Devereux Kanner's physical address?
The Devereux Kanner is physically located at 2012 Renaissance Blvd, in the city of King Of Prussia, PA, with the postal code 194062786.
What is the Devereux Kanner's specialty and taxonomy code?
The Devereux Kanner's specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
On what date was the 1245354026 assigned to Devereux Kanner?
The Devereux Kanner was issued its 1245354026 on 2007-03-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Devereux Kanner most recently updated or revised?
The details related to Devereux Kanner, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.