Providence Corporation
Providence Corporation is a Community/Behavioral Health Agency in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2016.
- Licensed in
- PA
- In the registry since
- 2016
- Specialties on file
- 3
Practice location Address checks out
7928 Ridge Ave First FlPhiladelphia, PA 19128-3011
Phone: (484) 746-0064
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence CER-00092467 (PA) |
|---|---|
| Adult Care Home Facility | Taxonomy 311ZA0620X · Licence CER-00092467 (PA) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence CER-00092467 (PA) |
Record details
| NPI number | 1518320373 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elvira Berry — Executive Director · (484) 746-0064 |
| NPI enumerated | March 30, 2016 |
| Last updated in NPPES | May 26, 2016 |
| Mailing address | 7928 Ridge Ave, First Floor, Philadelphia, PA 19128-3011 |
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