Organization
RESOURCES FOR HUMAN DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNNE ROTELLA MS (AR COORDINATOR)
(215) 951-0300
Entity
Organization
Contact information
Practice address
6937 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-1932
(215) 848-9610
(215) 848-3999
Mailing address
4700 WISSAHICKON AVE, PHILADELPHIA, PA 19144-4248
(215) 951-0300
(215) 951-0312
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1000017080425
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017080425
—
PA
Enumeration date
03/06/2007
Last updated
08/22/2020
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