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 1396864971. The provider is registered as an organization entity type.
The provider's business location address is:
1722 STENTON AVE
PHILADELPHIA, PA
ZIP 19141-433
Phone: (610) 543-5410
Fax: (610) 543-5397
The provider's authorized official is Fran Swiacki .
The authorized official title is Divisional Director and has the following contact phone number (610) 543-3380.
The enumeration date for this NPI number is 3/28/2007 and was last updated on 11/17/2015.