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Providence Living Llc
Substance Abuse Rehabilitation Facility in Media, Pennsylvania
NPI 1730562711

Providence Living Llc is a Substance Abuse Rehabilitation Facility based in Media, PA. Providence Living Llc practices in Media, PA. The NPI Number for Providence Living Llc is 1730562711 and holds a License No. 237095 (Pennsylvania).

The current practice location address for Providence Living Llc is 280 N Providence Rd Ste 2, Media, PA and can be reached out via phone at 484-445-4145 and via fax at 888-373-9844.

Location: 280 N Providence Rd Ste 2, Media, PA, 19063-3525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730562711
Provider Name
Providence Living Llc
Credential
Provider Entity Type
Organization
Address
280 N Providence Rd Ste 2, Media, PA, 19063-3525
Phone Number
484-445-4145
Fax Number
888-373-9844
Provider Enumeration Date
07/08/2015
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
280 N Providence Rd Ste 2
City
Media
State
Pennsylvania
Zip
19063-3525
Phone Number
484-445-4145
Fax Number
888-373-9844
person
Provider Business Mailing Address Details
Address
280 N Providence Rd Ste 2
City
Media
State
Pennsylvania
Zip
19063-3525
Phone Number
484-445-4145
Fax Number
888-373-9844
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
237095 (Pennsylvania)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
237095 (Pennsylvania)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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