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
686 OLD MARPLE RD, SPRINGFIELD, PA 19064-1239
(610) 328-7730
(610) 544-1710
Mailing address
686 OLD MARPLE RD, SPRINGFIELD, PA 19064-1239
(610) 328-7730
(610) 544-1710
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000031590010
—
PA
Enumeration date
03/23/2007
Last updated
11/13/2023
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