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COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE NPI 1952775736


NPI Information

NPI: 1952775736
Provider Name: COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
21 WAR ADMIRAL LN
MEDIA, PA
ZIP 19063
Phone: (610) 543-6602
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COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE is a community based residential treatment facility, intellectual and/or developmental disabilities in Media, 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. COMMUNITIES OF DON GUANELLA AND DIVINE PROVIDENCE NPI is 1952775736. The provider is registered as an organization entity type.

The provider's business location address is:

21 WAR ADMIRAL LN
MEDIA, PA
ZIP 19063-240
Phone: (610) 543-6602

The provider's authorized official is Dawn Engel .
The authorized official title is Hipaa Officer and has the following contact phone number (484) 908-6057.

The enumeration date for this NPI number is 11/17/2015 and was last updated on 3/26/2024.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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