NPI 1265850994

Divine Providence Village

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Drexel Hill, PA

Practice location

Address: 714 Belfield Ave, Drexel Hill, PA 19026-4306
Phone: (610) 543-6602
Mailing address: 686 Old Marple Rd, Springfield, PA 19064-1239

Authorised official

Name: Fran Swiacki
Title: Divisional Director
Phone: (610) 543-6602

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1265850994
Entity type: Organization
NPI issued: 31 Mar 2014
Record last updated: 2 Nov 2015

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.