Divine Providence Village

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1144685785

Divine Providence Village is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Prospect Park, Pennsylvania. Registered with an NPI since 2015.

In the registry since: 2015

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Practice location Address checks out

208 Mackenzie Ave
Prospect Park, PA 19076-2516
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	1144685785
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dawn Engel — Hipaa Officer · (610) 525-8800
NPI enumerated	December 28, 2015
Last updated in NPPES	March 29, 2024
Certification date	March 29, 2024
Mailing address	686 Old Marple Rd, Springfield, PA 19064-1239