Divine Providence Village
Divine Providence Village is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Media, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.
- Licensed in
- PA
- In the registry since
- 2007
Practice location Address checks out
441 Washington AveMedia, PA 19063-3923
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 | 1679692925 |
|---|---|
| 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 5, 2024 |
| Certification date | April 5, 2024 |
| Mailing address | 686 Old Marple Rd, Springfield, PA 19064-1239 |
Other providers in Media
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Communities of Don Guanella and Divine Providence
850 Pickering Ln, Media, PA 19063-1317 · (610) 543-5410
-
Communities of Don Guanella and Divine Providence
21 War Admiral Ln, Media, PA 19063-5240 · (610) 543-6602
-
Divine Providence Village
620 N Monroe St, Media, PA 19063-2506 · (610) 543-5410