DIVINE PROVIDENCE VILLAGE NPI 1760500722

NPI Information

DIVINE PROVIDENCE VILLAGE is a community based residential treatment facility, intellectual and/or developmental disabilities in New Castle, DE. 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 1760500722. The provider is registered as an organization entity type.

The provider's business location address is:

306 ROLLING GREEN AVE
NEW CASTLE, DE
ZIP 19720-795
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 CLIA number assigned to this NPI record is 39D2215751 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 11/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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