# IMPACTFUL HUMAN SERVICES LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568072759
- **Authorized official:** EDWINA VANOTOO (OFFICE MANAGER)
- **Authorized official phone:** (877) 500-4742

## Contact information

- **Practice address:** 1055 WESTLAKES DR STE 300, BERWYN, PA 19312-2410
- **Practice address phone:** (877) 500-4742
- **Practice address fax:** (877) 500-4742
- **Mailing address:** 1055 WESTLAKES DR STE 300, BERWYN, PA 19312-2410
- **Mailing address phone:** (877) 500-4742
- **Mailing address fax:** (877) 500-4742

## Taxonomy

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

## Other

- **Enumeration date:** 08/03/2020
- **Last updated:** 08/03/2020