Divine Providence Village

NPI #1871958413 in Upper Darby, Pennsylvania

Provider Information

NPI Number: 1871958413
Entity Type: Organization
Organization Name: Divine Providence Village
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 28, 2015
Last Updated: Dec 28, 2015

Practice Location

Address: 33 S MADISON AVE
City: Upper Darby
State: Pennsylvania
ZIP Code: 19082-2818
Phone: (610) 543-3380

Authorized Official

Name: MR. FRAN SWIACKI
Title: DIVISIONAL DIRECTOR
Phone: (610) 543-3380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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Divine Providence Village	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Upper Darby	AI Deep Dive
Divine Providence Village	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Upper Darby	AI Deep Dive
Divine Providence Village	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Upper Darby	AI Deep Dive
Divine Providence Village	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Upper Darby	AI Deep Dive
Divine Providence Village	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	Upper Darby	AI Deep Dive

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