Divine Providence Village
NPI #1801915418 in Glenside, Pennsylvania
Provider Information
- NPI Number
- 1801915418
- Entity Type
- Organization
- Organization Name
- Divine Providence Village
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Nov 17, 2015
Practice Location
- Address
- 106 WOODLYN AVE
- Address 2
- UNIT #4
- City
- Glenside
- State
- Pennsylvania
- ZIP Code
- 19038-4743
- Phone
- (610) 543-5410
Authorized Official
- Name
- MR. FRAN SWIACKI
- Title
- DIVISIONAL DIRECTOR
- Phone
- (610) 543-3380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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