Provider Demographics
NPI:1063782845
Name:THE DEVON GROUP LLC
Entity type:Organization
Organization Name:THE DEVON GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:SHRIEVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-822-4414
Mailing Address - Street 1:407 BROOKLETTS AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-3408
Mailing Address - Country:US
Mailing Address - Phone:410-822-4414
Mailing Address - Fax:410-822-5174
Practice Address - Street 1:407 BROOKLETTS AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3408
Practice Address - Country:US
Practice Address - Phone:410-822-4414
Practice Address - Fax:410-822-5174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2423253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care