Organization · Type 2 NPI

Divine Providence Village

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Havertown, PA

NPI number 1780049320 Active

Practice location

215 Fairlamb Ave
Havertown, PA 19083-2822

Mailing address

686 Old Marple Rd
Springfield, PA 19064-1239

Specialties and licenses

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.

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About NPI 1780049320

Divine Providence Village's National Provider Identifier is 1780049320, issued on Dec 28, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Havertown, PA. The record was last updated on Apr 5, 2024.