1164549747 DIVINE PROVIDENCE VILLAGE

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Active

Basic Information

Organization Name
DIVINE PROVIDENCE VILLAGE
Enumeration Date
March 26, 2007
Last Update
March 29, 2024
Authorized Official
DAWN ENGEL
HIPAA OFFICER
Phone: (610) 525-8800

Practice Location

Address
6612 N 6TH ST
PHILADELPHIA, PA 191263012
Phone
(610) 543-5410
Fax
(610) 543-5397

Mailing Address

Address
686 OLD MARPLE RD
SPRINGFIELD, PA 190641239
Phone
(610) 328-7730
Fax
(610) 544-1710

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities N/A PA Primary

Other Identifiers

Identifier Type State Issuer
1000031590117 05 PA N/A

Frequently Asked Questions

What is DIVINE PROVIDENCE VILLAGE's NPI number?
DIVINE PROVIDENCE VILLAGE's NPI number is 1164549747.
Which doctor has NPI number 1164549747?
The doctor with NPI number 1164549747 is DIVINE PROVIDENCE VILLAGE.
What is DIVINE PROVIDENCE VILLAGE's practice address?
DIVINE PROVIDENCE VILLAGE's practice address is 6612 N 6TH ST, PHILADELPHIA, PA, 191263012.
Which doctor practices at 6612 N 6TH ST, PHILADELPHIA, PA, 191263012?
DIVINE PROVIDENCE VILLAGE practices at 6612 N 6TH ST, PHILADELPHIA, PA, 191263012.
What is DIVINE PROVIDENCE VILLAGE's mailing address?
DIVINE PROVIDENCE VILLAGE's mailing address is 686 OLD MARPLE RD, SPRINGFIELD, PA, 190641239.
What is DIVINE PROVIDENCE VILLAGE's phone number?
DIVINE PROVIDENCE VILLAGE's phone number is (610) 543-5410.
Who is (610) 543-5410?
(610) 543-5410 is the phone number for DIVINE PROVIDENCE VILLAGE.
What is DIVINE PROVIDENCE VILLAGE's specialty?
DIVINE PROVIDENCE VILLAGE's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is DIVINE PROVIDENCE VILLAGE?
DIVINE PROVIDENCE VILLAGE is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is DIVINE PROVIDENCE VILLAGE a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, DIVINE PROVIDENCE VILLAGE is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is DIVINE PROVIDENCE VILLAGE still practicing?
Yes, DIVINE PROVIDENCE VILLAGE is currently practicing.
Is DIVINE PROVIDENCE VILLAGE accepting new patients?
DIVINE PROVIDENCE VILLAGE may be accepting new patients. Please call their office at (610) 543-5410 to inquire about availability.
Is NPI 1164549747 still active?
Yes, NPI 1164549747 is currently active.
Where does DIVINE PROVIDENCE VILLAGE practice?
DIVINE PROVIDENCE VILLAGE practices in PHILADELPHIA, PA.