Resources Form Human Development, NPI 1962532945
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1962532945
NPI Entity Type Organization
Provider Name Resources Form Human Development
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3471 Bowman St, Philadelphia, PA, US
Provider Mailing Address 4700 Wissahickon Ave, Philadelphia, PA, US, 191444248
Is Sole Proprietor? No
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Organization Official

Official Name MS. MS Adrienne Rotella
Official Position AR COORDINATOR
Phone 215-951-0300

Primary Taxonomy

Taxonomy Code

320900000X

Taxonomy Name Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Group

Residential Treatment Facilities

License No. 1000017080438
License State PA
Description A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Business Address

Resources Form Human Development
3471 Bowman St

Philadelphia, PA, US

Phone: 215-387-4288
Fax: 215-387-4360

Mailing Address

Resources Form Human Development
4700 Wissahickon Ave
Philadelphia, PA, US
ZIP 191444248
Phone: 215-951-0300
Fax: 215-951-0312

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