Organization
DIVINE PROVIDENCE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN ENGEL (HIPAA OFFICER)
(610) 525-8800
Entity
Organization
Contact information
Practice address
19 JAMES RD, BROOMALL, PA 19008-1409
(610) 543-3380
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
12/28/2015
Last updated
04/05/2024
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