MEDICARE: RESOURCES FOR HUMAN DEVELOPMENT, INC.

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	108980	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	:	1952778854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESOURCES FOR HUMAN DEVELOPMENT, INC.

Provider Business Mailing Address
First Line	:	4700 WISSAHICKON AVE
Second Line	:	SUITE 126
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4248
Country	:	US
Telephone Number	:	215-951-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 WASHINGTON AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19147-4028
Country	:	US
Telephone Number	:	215-462-5041
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DYANN M ROTH
Credential	:
Telephone Number	:	215-951-0300

Provider Enumeration Date	:	08/26/2015
Last Update Date	:	08/26/2015

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