Organization · Type 2 NPI
Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Folsom, PA
Practice location
208 Broomall St
Folsom, PA 19033-2714
Mailing address
686 Old Marple Rd
Springfield, PA 19064-1239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1003281825
Divine Providence Village's National Provider Identifier is 1003281825, issued on Dec 4, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Folsom, PA. The record was last updated on Mar 28, 2024.