Divine Providence Village
Divine Providence Village is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, Pennsylvania. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
6221 N 11th StPhiladelphia, PA 19141-3301
Phone: (610) 543-3380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1013372184 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dawn Engel — Hipaa Officer · (610) 525-8800 |
| NPI enumerated | December 16, 2015 |
| Last updated in NPPES | March 28, 2024 |
| Certification date | March 28, 2024 |
| Mailing address | 686 Old Marple Rd, Springfield, PA 19064-1239 |
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