DIVINE PROVIDENCE VILLAGE is a community based residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DIVINE PROVIDENCE VILLAGE NPI is 1063530756. The provider is registered as an organization entity type.
The provider's business location address is:
1804 DALLAS ST
PHILADELPHIA, PA
ZIP 19126-519
Phone: (610) 543-5410
Fax: (610) 543-5397
The provider's authorized official is Dawn Engel .
The authorized official title is Hipaa Officer and has the following contact phone number (610) 525-8800.
The enumeration date for this NPI number is 3/27/2007 and was last updated on 3/28/2024.