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NPI Code Detail

MEDICARE: RESOURCES FOR HUMAN DEVELOPMENT

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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility1000017080429PA

General Provider Information

NPI Number : 1093844375
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 : 215-951-0300
Fax Number : 215-951-0312
Provider Business Practice Location Address
First Line : 4926 RUBICAM ST
Second Line : 1ST FL
City : PHILADELPHIA
State : PA
Zip : 19144-1803
Country : US
Telephone Number : 215-848-1967
Fax Number : 215-848-1601
Authorized Official
Title or Position : AR COORDINATOR
Name : MS. ADRIENNE ROTELLA
Credential : MS
Telephone Number : 215-951-0300
Provider Enumeration Date : 03/05/2007
Last Update Date : 08/22/2020

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Directions to “RESOURCES FOR HUMAN DEVELOPMENT ” Practice Location

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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.

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