Organization
ADL SUPPORT SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN MATTHEW SMITH JR. (PRESIDENT)
(484) 888-5208
Entity
Organization
Contact information
Practice address
240 DEER RUN DR, HONEY BROOK, PA 19344-8693
(484) 888-5208
Mailing address
240 DEER RUN DR, HONEY BROOK, PA 19344-8693
(484) 888-5208
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
102889307
PA
251K00000X
Public Health or Welfare Agency
102889307
PA
251S00000X
Community/Behavioral Health Agency
Primary
102889307
PA
253Z00000X
In Home Supportive Care Agency
102889307
PA
385H00000X
Respite Care
102889307
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102889307
PERSON/FAMILY DIRECT SUPPOR WAIVER
PA
05
—
102889307
—
PA
Enumeration date
09/25/2014
Last updated
10/08/2014
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