Divine Providence Village

NPI #1871968743 in Aston, Pennsylvania

Provider Information

NPI Number
1871968743
Entity Type
Organization
Organization Name
Divine Providence Village
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Dec 3, 2015
Last Updated
Dec 3, 2015

Practice Location

Address
172 BISHOP DR
City
Aston
ZIP Code
19014-1314
Phone
(610) 543-3380

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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