Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Devereux Foundation Country Club

Organization Intellectual Disabilities Intermediate Care Facility · NPI 1104949163

Devereux Foundation Country Club is an Intellectual Disabilities Intermediate Care Facility in Phoenixville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007

Practice location Address checks out

755 Country Club Rd
Phoenixville, PA 19460-2725
Phone: (610) 296-6800
Fax: (610) 251-2013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual Disabilities Intermediate Care Facility (primary) Taxonomy 315P00000X · Licence 504640 (PA)

Record details

NPI number1104949163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fran Wagner — National Accts Receivable Director · (610) 542-3084
Other names Whitlock Country Club
NPI enumeratedApril 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2012 Renaissance Blvd, King Of Prussia, PA 19406-2786