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
6610 N 12th StPhiladelphia, PA 19126-3201
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 | 1396864971 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dawn Engel — Hipaa Officer · (610) 525-8800 |
| NPI enumerated | March 28, 2007 |
| Last updated in NPPES | April 2, 2024 |
| Certification date | April 2, 2024 |
| Mailing address | 686 Old Marple Rd, Springfield, PA 19064-1239 |
Other providers in Philadelphia
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Divine Providence Village
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Divine Providence Village
6500 N 9th St, Philadelphia, PA 19126-3724 · (610) 543-3380
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Divine Providence Village
1921 N Croskey St, Philadelphia, PA 19121-2026 · (610) 543-5410
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Divine Providence Village
1504 E Johnson St, Philadelphia, PA 19138-1110 · (610) 543-3380
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Divine Providence Village
5038 Haverford Ave, Philadelphia, PA 19139-1621 · (610) 543-5410
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Divine Providence Village
2446 N 30th St, Philadelphia, PA 19132-3002 · (610) 543-3380
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Divine Providence Village
7214 Briar Rd, Philadelphia, PA 19138-1326 · (610) 543-3380
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Divine Providence Village
1830 Widener Pl, Philadelphia, PA 19141-1336 · (610) 543-3380