Organization · Type 2 NPI
Communities of Don Guanella and Divine Providence
Intellectual Disabilities Intermediate Care Facility · Brookhaven, PA
NPI number
1982009254
Active
Practice location
225 Upland Road
Brookhaven, PA 19015
Mailing address
20 E Cleveland Ave
Norwood, PA 19074-1207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1982009254
Communities of Don Guanella and Divine Providence's National Provider Identifier is 1982009254, issued on Oct 29, 2014. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Brookhaven, PA. The record was last updated on Nov 13, 2023.