Organization
COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN ENGEL (HIPAA OFFICER)
(484) 908-6057
Entity
Organization
Contact information
Practice address
1252 CENTER RD, HAVERTOWN, PA 19083-4823
(610) 328-7730
Mailing address
686 OLD MARPLE RD, SPRINGFIELD, PA 19064-1239
(610) 328-7730
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
03/26/2024
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