Divine Providence Village - Philadelphia, PA

Divine Providence Village

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, Pennsylvania

NPI 1649635715

Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in Philadelphia, PA. The NPI Number for Divine Providence Village is 1649635715 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 5312 N Front St, Philadelphia, PA and can be reached out via phone at 610-543-3380.

Location: 5312 N Front St, Philadelphia, PA, 19064-1239

NPI Number

1649635715

Provider Name

Divine Providence Village

Credential

Provider Entity Type

Organization

Address

5312 N Front St, Philadelphia, PA, 19064-1239

Phone Number

610-543-3380

Fax Number

Provider Enumeration Date

12/16/2015

Last Update Date

04/13/2024

Address

5312 N Front St

City

Philadelphia

State

Pennsylvania

Zip

19120-3228

Phone Number

610-543-3380

Fax Number

Address

5312 N Front St

City

Philadelphia

State

Pennsylvania

Zip

19120-3228

Phone Number

610-543-3380

Fax Number

Type

Residential Treatment Facilities

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320900000X

License No.

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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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