MEDICARE: RESOURCES FOR HUMAN DEVELOPMENT

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
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	1000017080331	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932238102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOURCES FOR HUMAN DEVELOPMENT

Provider Business Mailing Address
First Line	:	4700 WISSAHICKON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4248
Country	:	US
Telephone Number	:	610-614-1220
Fax Number	:	610-614-1224

Provider Business Practice Location Address
First Line	:	3214 HIGHLAND DR
Second Line	:
City	:	EASTON
State	:	PA
Zip	:	18045-2012
Country	:	US
Telephone Number	:	610-614-1220
Fax Number	:	610-614-1224

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	MS. DOLORES DELANEY
Credential	:	MA
Telephone Number	:	610-614-1220

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	08/22/2020

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