Lance Cory Devero
Lance Cory Devero is an Emotionally Disturbed Childrens' Residential Treatment Facility in Laveen, Arizona. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
8406 S 49th LnLaveen, AZ 85339-2159
Phone: (215) 678-7702
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X |
|---|
Record details
| NPI number | 1811667173 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 17, 2021 |
| Last updated in NPPES | September 17, 2021 |
| Certification date | September 17, 2021 |
| Mailing address | 8406 S 49th Ln, Laveen, AZ 85339-2159 |
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