Organization · Type 2 NPI
Divine Providence Village
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Glenside, PA
Practice location
106 Woodlyn Ave, Unit #4
Glenside, PA 19038-4743
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Glenside
About NPI 1801915418
Divine Providence Village's National Provider Identifier is 1801915418, issued on Mar 28, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Glenside, PA. The record was last updated on Nov 17, 2015.