Devereux Foundation, NPI 1609958628
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Victoria, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1609958628
NPI Entity Type Organization
Provider Name Devereux Foundation
Doing Business As
Subpart of Organization Devereux Foundation
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 120 David Wade Drive, Victoria, TX, US
Provider Mailing Address Po Box 2666, Victoria, TX, US, 779022666
Is Sole Proprietor? No
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Organization Official

Official Name MS. Pamela E. Helm
Official Position EXECUTIVE DIRECTOR
Phone 281-335-1000

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

320600000X

Taxonomy Name Intellectual and/or Developmental Disabilities Residential Treatment Facility
Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Group

Residential Treatment Facilities

License No. 5460
License State TX
Description 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.

Other Organization Name

Devereux Texas Treatment Network
Doing Business As

Business Address

Devereux Foundation
120 David Wade Drive

Victoria, TX, US

Phone: 361-575-8271
Fax: 361-575-6520

Mailing Address

Devereux Foundation
Po Box 2666
Victoria, TX, US
ZIP 779022666
Phone: 361-575-8271
Fax: 361-575-6520

Secondary Taxonomies

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
112748201 TX MEDICAID 05
112748202 TX MEDICAID 05

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1891155230

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DR. DDS Blessing Alagba

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Jessica Hooson, Lcsw, P.l.l.c.

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Community/Behavioral Health Agency

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Round Rock, TX

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