Organization · Type 2 NPI
Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · West Norriton, PA
Practice location
1741 Magnolia Ln
West Norriton, PA 19403-3323
Fax (610) 543-5397
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.
Another provider at this address
About NPI 1104943877
Divine Providence Village's National Provider Identifier is 1104943877, issued on Mar 26, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in West Norriton, PA. The record was last updated on Mar 28, 2024.