Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Divine Providence Village

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1558735969

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
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Practice location Address checks out

2446 N 30th St
Philadelphia, PA 19132-3002
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 number1558735969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Engel — Hipaa Officer · (610) 525-8800
NPI enumeratedNovember 23, 2015
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address686 Old Marple Rd, Springfield, PA 19064-1239

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