Divine Providence Village
Divine Providence Village is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Broomall, Pennsylvania. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
19 James RdBroomall, PA 19008-1409
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 | 1699130237 |
|---|---|
| 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 | April 5, 2024 |
| Certification date | April 5, 2024 |
| Mailing address | 686 Old Marple Rd, Springfield, PA 19064-1239 |
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41 Media Line Rd Apt A-2, Broomall, PA 19008-1246 · (610) 543-3380
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Divine Providence Village
99 S Sproul Rd, Broomall, PA 19008-2334 · (610) 543-5410