Organization · Type 2 NPI

Divine Providence Village

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

NPI number 1801914585 Active

Practice location

620 N Monroe St
Media, PA 19063-2506

Fax (610) 543-5397

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.

Other intellectual and/or developmental disabilities community based residential treatment facility providers in Media

See all in Media →

About NPI 1801914585

Divine Providence Village's National Provider Identifier is 1801914585, issued on Mar 27, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Media, PA. The record was last updated on Nov 16, 2015.