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Divine Providence Village

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Upper Darby, PA

NPI 1104281278 · NPPES record last updated Mar 28, 2024

Key facts

NPI
1104281278
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
DIVINE PROVIDENCE VILLAGE
Practice address
248 Hampden Rd
Upper Darby, PA 19082-4007
Phone
(610) 543-3380
NPI assigned
Dec 16, 2015
Organization subpart
No

Authorized official

Name
Mr. Fran Swiacki
Title
Divisional Director
Phone
(610) 543-3380

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Divine Providence Village (124 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

248 Hampden Rd
Upper Darby, PA 19082-4007

Mailing address

686 Old Marple Rd
Springfield, PA 19064-1239
Phone (610) 328-7730

Other providers in Upper Darby, PA

All providers in Upper Darby, PA · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

Sources for this page

Verify at the official NPI Registry.