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Providence Living Llc
Substance Abuse Rehabilitation Facility in Philadelphia, Pennsylvania
NPI 1962965145

Providence Living Llc is a Substance Abuse Rehabilitation Facility based in Philadelphia, PA. Providence Living Llc practices in Philadelphia, PA. The NPI Number for Providence Living Llc is 1962965145 and holds a License No. (Pennsylvania).

The current practice location address for Providence Living Llc is 1528 Walnut St Ste 1410, Philadelphia, PA and can be reached out via phone at 484-445-4145 and via fax at 888-373-9844.

Location: 1528 Walnut St Ste 1410, Philadelphia, PA, 19102-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962965145
Provider Name
Providence Living Llc
Credential
Provider Entity Type
Organization
Address
1528 Walnut St Ste 1410, Philadelphia, PA, 19102-3610
Phone Number
484-445-4145
Fax Number
888-373-9844
Provider Enumeration Date
04/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1528 Walnut St Ste 1410
City
Philadelphia
State
Pennsylvania
Zip
19102-3610
Phone Number
484-445-4145
Fax Number
888-373-9844
person
Provider Business Mailing Address Details
Address
1528 Walnut St Ste 1410
City
Philadelphia
State
Pennsylvania
Zip
19102-3610
Phone Number
484-445-4145
Fax Number
888-373-9844
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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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