NPI 1073631933

Divine Providence Village

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Lansdowne, PA

Practice location

Address: 422 Bonsall Ave, Lansdowne, PA 19050-3120
Phone: (610) 543-5410
Fax: (610) 543-5397
Mailing address: 686 Old Marple Rd, Springfield, PA 19064-1239

Authorised official

Name: Dawn Engel
Title: Hipaa Office
Phone: (610) 525-8800

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Pennsylvania →

Registry record

NPI: 1073631933
Entity type: Organization
NPI issued: 27 Mar 2007
Record last updated: 28 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.