NPI 1225403934

Divine Providence Village

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

Practice location

Address: 640 South Ave APT 6, Secane, PA 19018-4641
Phone: (610) 543-3380
Mailing address: 686 Old Marple Rd, Springfield, PA 19064-1239

Authorised official

Name: Dawn Engel
Title: Hipaa Officer
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: 1225403934
Entity type: Organization
NPI issued: 7 Dec 2015
Record last updated: 2 Apr 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.