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

Devereux Kanner

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1306960091

Devereux Kanner is a Mental Illness Community Based Residential Treatment Facility in West Chester, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

390 E Boot Rd 101 Genuardi Cir
West Chester, PA 19380-1222
Phone: (610) 431-8100
Fax: (610) 431-3155
Show map & directions

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

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 132880 (PA)
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X · Licence 112050 (PA)

Record details

NPI number1306960091
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fran Wagner — National Director, Ar · (610) 542-3084
Other names Kanner Jackson Villa
NPI enumeratedMarch 19, 2007
Last updated in NPPESAugust 31, 2010
Mailing address2012 Renaissance Blvd, King Of Prussia, PA 19406-2786

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