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	251S00000X	Community/Behavioral Health Agency	1000017081011	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	:	1932234747
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	:	5500 KINGSESSING AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-5329
Country	:	US
Telephone Number	:	215-727-2160
Fax Number	:

Authorized Official
Title or Position	:	AR COORDINATOR
Name	:	MS. ADRIENNE ROTELLA
Credential	:	MS
Telephone Number	:	215-951-0300

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	03/05/2009

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Directions to “RESOURCES FOR HUMAN DEVELOPMENT ” Practice Location

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