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Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Prospect Park, Pennsylvania
NPI 1144685785

Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in Prospect Park, PA. The NPI Number for Divine Providence Village is 1144685785 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 208 Mackenzie Ave, Prospect Park, PA and can be reached out via phone at 610-543-3380.

Location: 208 Mackenzie Ave, Prospect Park, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144685785
Provider Name
Divine Providence Village
Credential
Provider Entity Type
Organization
Address
208 Mackenzie Ave, Prospect Park, 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
208 Mackenzie Ave
City
Prospect Park
State
Pennsylvania
Zip
19076-2516
Phone Number
610-543-3380
Fax Number
person
Provider Business Mailing Address Details
Address
208 Mackenzie Ave
City
Prospect Park
State
Pennsylvania
Zip
19076-2516
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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