Divine Providence Village

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1104943877

Divine Providence Village is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in West Norriton, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in: PA
In the registry since: 2007

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Practice location Address checks out

1741 Magnolia Ln
West Norriton, PA 19403-3323
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	1104943877
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dawn Engel — Hipaa Officer · (610) 525-8800
NPI enumerated	March 26, 2007
Last updated in NPPES	March 28, 2024
Certification date	March 28, 2024
Mailing address	686 Old Marple Rd, Springfield, PA 19064-1239