Organization
COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN ENGEL (HIPAA OFFICER)
(610) 525-8800
Entity
Organization
Contact information
Practice address
203 W ROSE TREE RD, MEDIA, PA 19063-2010
(610) 525-8800
Mailing address
20 E CLEVELAND AVE, NORWOOD, PA 19074-1207
(610) 543-3380
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/04/2023
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