Divine Providence Village
NPI #1215054424 in Springfield, Pennsylvania
Provider Information
- NPI Number
- 1215054424
- Entity Type
- Organization
- Organization Name
- Divine Providence Village
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1797 S SPROUL RD
- City
- Springfield
- State
- Pennsylvania
- ZIP Code
- 19064-1137
- Phone
- (610) 544-9509
Authorized Official
- Name
- MR. MARK E FITZGERALD, NHA, MSW
- Title
- DIRECTOR, MR SERVICES
- Phone
- (610) 543-6602
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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