Divine Providence Village

NPI #1932564002 in Upper Darby, Pennsylvania

Provider Information

NPI Number: 1932564002
Entity Type: Organization
Organization Name: Divine Providence Village
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Dec 16, 2015
Last Updated: Dec 16, 2015

Practice Location

Address: 244 KENT RD
City: Upper Darby
State: Pennsylvania
ZIP Code: 19082-4205
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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