Divine Providence Village

LBN: Divine Providence Village
Divine Providence Village is an health care organization with primary practice located at 156 Copley Rd , Upper Darby PA 19082-3103. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Divine Providence Village can be contacted via phone (610) 543-5410, or through Engel, Dawn via phone (610) 525-8800.

Contact Information

Primary practice address
156 Copley Rd Upper Darby PA 19082-3103
Phone: (610) 543-5410
Fax: (610) 543-5397
Website:
Map and Directions
Authorized official contact:
Name: Engel, Dawn
Phone: (610) 525-8800

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X Pennsylvania

Profile Details

NPI number 1497874093
LBN Legal business name Divine Providence Village
DBA Doing business as
Authorized official Engel, Dawn
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2007
Last updated Apr 2nd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497874093 NPPES
Pennsylvania MEDICAID 1000031590116

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