Divine Providence Village

NPI #1225403934 in Secane, Pennsylvania

Provider Information

NPI Number
1225403934
Entity Type
Organization
Organization Name
Divine Providence Village
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Dec 7, 2015
Last Updated
Apr 2, 2024

Practice Location

Address
640 SOUTH AVE APT 6
City
Secane
ZIP Code
19018-4641
Phone
(610) 543-3380

Authorized Official

Name
DAWN ENGEL
Title
HIPAA OFFICER
Phone
(610) 525-8800

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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