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Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Broomall, Pennsylvania
NPI 1952420697

Divine Providence Village is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Springfield, PA. Divine Providence Village practices in Broomall, PA. The NPI Number for Divine Providence Village is 1952420697 and holds a License No. (Pennsylvania).

The current practice location address for Divine Providence Village is 99 S Sproul Rd, Broomall, PA and can be reached out via phone at 610-543-5410 and via fax at 610-543-5397.

Location: 99 S Sproul Rd, Broomall, PA, 19064-1239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952420697
Provider Name
Divine Providence Village
Credential
Provider Entity Type
Organization
Address
99 S Sproul Rd, Broomall, 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
1000031590103 05 PA
institution
Provider Business Practice Location Address Details
Address
99 S Sproul Rd
City
Broomall
State
Pennsylvania
Zip
19008-2334
Phone Number
610-543-5410
Fax Number
610-543-5397
person
Provider Business Mailing Address Details
Address
99 S Sproul Rd
City
Broomall
State
Pennsylvania
Zip
19008-2334
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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