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Divine Providence Village
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Springfield, Pennsylvania
NPI 1669599874

Divine Providence Village is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in Springfield, PA. The NPI Number for Divine Providence Village is 1669599874 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 686 Old Marple Rd, Springfield, PA and can be reached out via phone at 610-328-7730 and via fax at 610-544-1710.

Location: 686 Old Marple Rd, Springfield, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669599874
Provider Name
Divine Providence Village
Credential
Provider Entity Type
Organization
Address
686 Old Marple Rd, Springfield, PA, 19064-1239
Phone Number
610-328-7730
Fax Number
610-544-1710
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000031590003 05 PA
institution
Provider Business Practice Location Address Details
Address
686 Old Marple Rd
City
Springfield
State
Pennsylvania
Zip
19064-1239
Phone Number
610-328-7730
Fax Number
610-544-1710
person
Provider Business Mailing Address Details
Address
686 Old Marple Rd
City
Springfield
State
Pennsylvania
Zip
19064-1239
Phone Number
610-328-7730
Fax Number
610-544-1710
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(Pennsylvania)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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