Organization
BIACON FAMILY AND COMMUNITY SUPPORT SERVICES
Active
Other names
BIACON Family and Community Support Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IBRAHIM CONTEH (COO)
(610) 304-5770
Entity
Organization
Contact information
Practice address
205 PENNFORD PL, GARNET VALLEY, PA 19060-2407
(610) 485-8959
Mailing address
205 PENNFORD PL, GARNET VALLEY, PA 19060-2407
(610) 485-8959
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103271135-0002
MPI
PA
Enumeration date
08/04/2018
Last updated
08/04/2018
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