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Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Folcroft, Pennsylvania
NPI 1053776690

Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in Folcroft, PA. The NPI Number for Divine Providence Village is 1053776690 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 1712 Shallcross Ave, Folcroft, PA and can be reached out via phone at 610-543-3380.

Location: 1712 Shallcross Ave, Folcroft, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1053776690
Provider Name
Divine Providence Village
Credential
Provider Entity Type
Organization
Address
1712 Shallcross Ave, Folcroft, PA, 19064-1239
Phone Number
610-543-3380
Fax Number
Provider Enumeration Date
12/28/2015
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1712 Shallcross Ave
City
Folcroft
State
Pennsylvania
Zip
19032-1225
Phone Number
610-543-3380
Fax Number
person
Provider Business Mailing Address Details
Address
1712 Shallcross Ave
City
Folcroft
State
Pennsylvania
Zip
19032-1225
Phone Number
610-543-3380
Fax Number
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.
()
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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