Divine Providence Village in Folcroft - Residential Treatment Facility, Emotionally Disturbed Children

Divine Providence Village - NPI 1346367059

Divine Providence Village is a Residential Treatment Facility, Emotionally Disturbed Children in Folcroft, Pennsylvania. Divine Providence Village practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Divine Providence Village is 1346367059. The last update date is 2015-11-13.

Divine Providence Village's current location address is 1600 Elmwood Ave, Folcroft, Pennsylvania. You can contact this provider via phone number 6105435410 and fax number 6105435397. The mailing address for Divine Providence Village is 1600 Elmwood Ave, Folcroft, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Divine Providence Village
Address 1600 Elmwood Ave, Folcroft, 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 1346367059
Provider Enumeration Date 2007-03-26
Last Updated Date 2015-11-13

Provider Mailing Address Detail

Address 1600 Elmwood Ave
City Folcroft
State Pennsylvania (PA)
Post Code 190321220
Phone Number 6105435410
Fax Number 6105435397

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000031590065 PA --

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FAQs about Divine Providence Village

What is the Divine Providence Village's unique identification number?

The Divine Providence Village has been assigned the NPI (National Provider Identifier) Number 1346367059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Divine Providence Village is geographically located?

The Divine Providence Village is physically situated at the following location: 1600 Elmwood Ave, Folcroft, PA, 190321220.

What is Divine Providence Village's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Divine Providence Village is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.

On what date did Divine Providence Village receive its 1346367059 assignment from the Centers for Medicare & Medicaid Services?

The Divine Providence Village was assigned its 1346367059 on 2007-03-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Divine Providence Village most recently updated or revised?

The information pertaining to Divine Providence Village, including its address, specialty, and other relevant details, was last updated or revised on 2015-11-13.

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