Divine Providence Village in Upper Darby - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Divine Providence Village - NPI 1073631933
Divine Providence Village is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Upper Darby, Pennsylvania. Divine Providence Village practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Divine Providence Village is 1073631933. The last update date is 2015-11-17.
Divine Providence Village's current location address is 103 S Carol Blvd, Upper Darby, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 103 S Carol Blvd, Upper Darby, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Divine Providence Village |
|---|---|
| Address | 103 S Carol Blvd, Upper Darby, Pennsylvania |
| Phone Number | 6105435410 |
| Fax Number | 6105435397 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIVISIONAL |
|---|---|
| Authorized Official Name | Swiacki Fran |
| Telephone Number | 6105433380 |
NPI Number Detail
| NPI Number | 1073631933 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2015-11-17 |
Provider Mailing Address Detail
| Address | 103 S Carol Blvd |
|---|---|
| City | Upper Darby |
| State | Pennsylvania (PA) |
| Post Code | 190822913 |
| Phone Number | 6105435410 |
| Fax Number | 6105435397 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000031590077 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Divine Providence Village by the Centers for Medicare & Medicaid Services?
The Divine Providence Village has been issued the NPI (National Provider Identifier) 1073631933 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Divine Providence Village is physically located?
The Divine Providence Village is situated at the following address: 103 S Carol Blvd, Upper Darby, PA 190822913.
What is Divine Providence Village's area of expertise and its corresponding taxonomy classification?
The Divine Providence Village's field of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1073631933 to Divine Providence Village?
The Centers for Medicare & Medicaid Services assigned the 1073631933 to Divine Providence Village on 2007-03-27.
As of what date was the information pertaining to Divine Providence Village, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Divine Providence Village, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-17.
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