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Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Norriton, Pennsylvania
NPI 1104943877

Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in West Norriton, PA. The NPI Number for Divine Providence Village is 1104943877 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 1741 Magnolia Ln, West Norriton, PA and can be reached out via phone at 610-543-5410 and via fax at 610-543-5397.

Location: 1741 Magnolia Ln, West Norriton, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104943877
Provider Name
Divine Providence Village
Credential
Provider Entity Type
Organization
Address
1741 Magnolia Ln, West Norriton, PA, 19064-1239
Phone Number
610-543-5410
Fax Number
610-543-5397
Provider Enumeration Date
03/26/2007
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000031590123 05 PA
institution
Provider Business Practice Location Address Details
Address
1741 Magnolia Ln
City
West Norriton
State
Pennsylvania
Zip
19403-3323
Phone Number
610-543-5410
Fax Number
610-543-5397
person
Provider Business Mailing Address Details
Address
1741 Magnolia Ln
City
West Norriton
State
Pennsylvania
Zip
19403-3323
Phone Number
610-543-5410
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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