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Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Springfield, Pennsylvania
NPI 1215054424

Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in Springfield, PA. The NPI Number for Divine Providence Village is 1215054424 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 1797 S Sproul Rd, Springfield, PA and can be reached out via phone at 610-544-9509 and via fax at 610-544-9658.

Location: 1797 S Sproul Rd, Springfield, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215054424
Provider Name
Divine Providence Village
Credential
Provider Entity Type
Organization
Address
1797 S Sproul Rd, Springfield, PA, 19064-1239
Phone Number
610-544-9509
Fax Number
610-544-9658
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000031590002 05 PA
institution
Provider Business Practice Location Address Details
Address
1797 S Sproul Rd
City
Springfield
State
Pennsylvania
Zip
19064-1137
Phone Number
610-544-9509
Fax Number
610-544-9658
person
Provider Business Mailing Address Details
Address
1797 S Sproul Rd
City
Springfield
State
Pennsylvania
Zip
19064-1137
Phone Number
610-544-9509
Fax Number
610-544-9658
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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