Organization
COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE
Active
Other names
Don Guanella Village Work Activity Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN ENGEL (HIPAA OFFICER)
(484) 908-6057
Entity
Organization
Contact information
Practice address
10 FATIMA DR, SECANE, PA 19018-4640
(610) 543-3380
Mailing address
20 E CLEVELAND AVE, NORWOOD, PA 19074-1207
(610) 543-3380
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000031400002
—
PA
Enumeration date
03/14/2007
Last updated
03/26/2024
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