# BIACON FAMILY AND COMMUNITY SUPPORT SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BIACON Family and Community Support Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477031029
- **Authorized official:** MR. IBRAHIM CONTEH (COO)
- **Authorized official phone:** (610) 304-5770

## Contact information

- **Practice address:** 205 PENNFORD PL, GARNET VALLEY, PA 19060-2407
- **Practice address phone:** (610) 485-8959
- **Mailing address:** 205 PENNFORD PL, GARNET VALLEY, PA 19060-2407
- **Mailing address phone:** (610) 485-8959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2018
- **Last updated:** 08/04/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 103271135-0002 | MPI | PA |