1215054424 DIVINE PROVIDENCE VILLAGE

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Active

Basic Information

Organization Name
DIVINE PROVIDENCE VILLAGE
Enumeration Date
March 23, 2007
Last Update
August 22, 2020
Authorized Official
MR. MARK E FITZGERALD NHA, MSW
DIRECTOR, MR SERVICES
Phone: (610) 543-6602

Practice Location

Address
1797 S SPROUL RD
SPRINGFIELD, PA 190641137
Phone
(610) 544-9509
Fax
(610) 544-9658

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
1000031590002 05 PA N/A

Frequently Asked Questions

What is DIVINE PROVIDENCE VILLAGE's NPI number?
DIVINE PROVIDENCE VILLAGE's NPI number is 1215054424.
Which doctor has NPI number 1215054424?
The doctor with NPI number 1215054424 is DIVINE PROVIDENCE VILLAGE.
What is DIVINE PROVIDENCE VILLAGE's practice address?
DIVINE PROVIDENCE VILLAGE's practice address is 1797 S SPROUL RD, SPRINGFIELD, PA, 190641137.
Which doctor practices at 1797 S SPROUL RD, SPRINGFIELD, PA, 190641137?
DIVINE PROVIDENCE VILLAGE practices at 1797 S SPROUL RD, SPRINGFIELD, PA, 190641137.
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) 544-9509.
Who is (610) 544-9509?
(610) 544-9509 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) 544-9509 to inquire about availability.
Is NPI 1215054424 still active?
Yes, NPI 1215054424 is currently active.
Where does DIVINE PROVIDENCE VILLAGE practice?
DIVINE PROVIDENCE VILLAGE practices in SPRINGFIELD, PA.