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	261QC1500X	Community Health Clinic/Center	SP008180	PA

General Provider Information

NPI Number	:	1801842687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOURCES FOR HUMAN DEVELOPMENT

Provider Business Mailing Address
First Line	:	723 PRESTON AVE
Second Line	:
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-3827
Country	:	US
Telephone Number	:	215-300-6694
Fax Number	:	215-298-9502

Provider Business Practice Location Address
First Line	:	3205 DEFENSE TER
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19129-1110
Country	:	US
Telephone Number	:	215-843-9720
Fax Number	:	215-298-0502

Authorized Official
Title or Position	:	CRNP
Name	:	MIRELLA BARRERA
Credential	:	CRNP
Telephone Number	:	215-843-9729

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	08/22/2020

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Directions to “RESOURCES FOR HUMAN DEVELOPMENT ” Practice Location

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