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Organization
DIVINE PROVIDENCE VILLAGE
Active
Organization
DIVINE PROVIDENCE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRAN SWIACKI (DIVISIONAL DIRECTOR)
(610) 543-6602
Entity
Organization
Contact information
Practice address
714 BELFIELD AVE, DREXEL HILL, PA 19026-4306
(610) 543-6602
Mailing address
686 OLD MARPLE RD, SPRINGFIELD, PA 19064-1239
(610) 543-6602
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
03/31/2014
Last updated
11/02/2015
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