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Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Feasterville Trevose, Pennsylvania
NPI 1215055363

Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in Feasterville Trevose, PA. The NPI Number for Divine Providence Village is 1215055363 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 1510 Pleasant Dr, Feasterville Trevose, PA and can be reached out via phone at 610-543-5410 and via fax at 610-543-5397.

Location: 1510 Pleasant Dr, Feasterville Trevose, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215055363
Provider Name
Divine Providence Village
Credential
Provider Entity Type
Organization
Address
1510 Pleasant Dr, Feasterville Trevose, PA, 19064-1239
Phone Number
610-543-5410
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
1000031590088 05 PA
institution
Provider Business Practice Location Address Details
Address
1510 Pleasant Dr
City
Feasterville Trevose
State
Pennsylvania
Zip
19053-4434
Phone Number
610-543-5410
Fax Number
610-543-5397
person
Provider Business Mailing Address Details
Address
1510 Pleasant Dr
City
Feasterville Trevose
State
Pennsylvania
Zip
19053-4434
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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