location
search-icon
institution
Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Media, Pennsylvania
NPI 1679692925

Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in Media, PA. The NPI Number for Divine Providence Village is 1679692925 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 441 Washington Ave, Media, PA and can be reached out via phone at 610-543-5410 and via fax at 610-543-5397. You can also correspond with Divine Providence Village through the mailing address at 686 OLD MARPLE RD, SPRINGFIELD, PA - 19064-1239 (mailing address contact number: 610-328-7730).

Location: 441 Washington Ave, Media, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679692925
Provider Name
Divine Providence Village
Credential
Provider Entity Type
Organization
Address
441 Washington Ave, Media, PA, 19064-1239
Phone Number
610-543-5410
Fax Number
610-543-5397
Provider Enumeration Date
03/28/2007
Last Update Date
04/13/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1000031590079 05 PA
institution
Provider Business Practice Location Address Details
Address
441 Washington Ave
City
Media
State
Pennsylvania
Zip
19063-3923
Phone Number
610-543-5410
Fax Number
610-543-5397
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
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.