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Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lansdowne, Pennsylvania
NPI 1003934860

Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in Lansdowne, PA. The NPI Number for Divine Providence Village is 1003934860 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 120 Nyack Ave, Lansdowne, PA and can be reached out via phone at 484-475-2465 and via fax at 610-543-5397.

Location: 120 Nyack Ave, Lansdowne, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003934860
Provider Name
Divine Providence Village
Credential
Provider Entity Type
Organization
Address
120 Nyack Ave, Lansdowne, PA, 19064-1239
Phone Number
484-475-2465
Fax Number
610-543-5397
Provider Enumeration Date
03/27/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000031590126 05 PA
institution
Provider Business Practice Location Address Details
Address
120 Nyack Ave
City
Lansdowne
State
Pennsylvania
Zip
19050-2918
Phone Number
484-475-2465
Fax Number
610-543-5397
person
Provider Business Mailing Address Details
Address
120 Nyack Ave
City
Lansdowne
State
Pennsylvania
Zip
19050-2918
Phone Number
484-475-2465
Fax Number
610-543-5397
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Pennsylvania)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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