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
21 WAR ADMIRAL LN, MEDIA, PA 19063-5240
(610) 543-6602
Mailing address
686 OLD MARPLE RD, SPRINGFIELD, PA 19064-1239
(610) 543-6602
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
03/26/2024
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