DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DIVINE PROVIDENCE VILLAGE

MEDICARE: DIVINE PROVIDENCE VILLAGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1811361447
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVINE PROVIDENCE VILLAGE
Provider Business Mailing Address
First Line : 686 OLD MARPLE RD
Second Line :
City : SPRINGFIELD
State : PA
Zip : 19064-1239
Country : US
Telephone Number : 610-328-7730
Fax Number :
Provider Business Practice Location Address
First Line : 2825 W OXFORD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19121-2743
Country : US
Telephone Number : 610-543-3380
Fax Number :
Authorized Official
Title or Position : DIVISIONAL DIRECTOR
Name : MR. FRAN SWIACKI
Credential :
Telephone Number : 610-543-3380
Provider Enumeration Date : 11/19/2015
Last Update Date : 11/19/2015

Similar Medicare Providers

1477660470 — RIVERSIDE CARE, INC
Practice Location Address:
2701 N. BROAD ST
PHILADELPHIA, PA
19132-2743
Practice Phone: 215-221-0800
Practice Fax: 215-221-0487
1760647804 — WEST PHILADELPHIA REHAB AND MEDICAL
Practice Location Address:
2701 N BROAD ST
PHILADELPHIA, PA
19132-2743
Practice Phone: 215-223-2356
Practice Fax: 215-223-2358
1952555815 — TEMPLE UNIVERSITY OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCATION
Practice Location Address:
2701 N BROAD ST
PHILADELPHIA, PA
19132-2743
Practice Phone: 215-707-1769
Practice Fax: 215-707-3677
1407145295 — NORTHEAST TREATMENT CENTERS, INC
Practice Location Address:
2701 N BROAD ST
PHILADELPHIA, PA
19132-2743
Practice Phone: 215-451-7000
Practice Fax: 215-451-7010
1295237626 — BLESSINGS4EVER HOME CARE AGENCY
Practice Location Address:
2701 N BROAD ST
PHILADELPHIA, PA
19132-2743
Practice Phone: 215-425-3950
Practice Fax:
1497236251 — CEDAR WOOD CARE MANAGEMENT, INC.
Practice Location Address:
2701 N BROAD ST
PHILADELPHIA, PA
19132-2743
Practice Phone: 152-427-7800
Practice Fax: 267-519-8911

Directions to “DIVINE PROVIDENCE VILLAGE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.