Divine Providence Village
Divine Providence Village is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
Practice location Address checks out
1804 Dallas StPhiladelphia, PA 19126-1519
Phone: (610) 543-5410
Fax: (610) 543-5397
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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 (PA) |
|---|
Record details
| NPI number | 1063530756 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dawn Engel — Hipaa Officer · (610) 525-8800 |
| NPI enumerated | March 27, 2007 |
| 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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Divine Providence Village
902 69th Ave, Philadelphia, PA 19126-2909 · (610) 543-5410
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Divine Providence Village
6322 N 21st St, Philadelphia, PA 19138-3006 · (610) 543-5410
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Divine Providence Village
6633 N Opal St, Philadelphia, PA 19138-3131 · (610) 543-5410
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Divine Providence Village
7349 Walnut Ln, Philadelphia, PA 19138-1331 · (610) 543-3380
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Divine Providence Village
6612 N 6th St, Philadelphia, PA 19126-3012 · (610) 543-5410