Whalio Doctors

NPI 1932226784

Divine Providence Village

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

Practice location

Address
325 Ashland Ave, Secane, PA 19018-2703
Phone
(610) 543-5410
Fax
(610) 543-5397
Mailing address
686 Old Marple Rd, Springfield, PA 19064-1239

Authorised official

Name
Fran Swiacki
Title
Divisional Director
Phone
(610) 543-3380

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1932226784
Entity type
Organization
NPI issued
26 Mar 2007
Record last updated
13 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.