Organization
IMPACTFUL HUMAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWINA VANOTOO (OFFICE MANAGER)
(877) 500-4742
Entity
Organization
Contact information
Practice address
1055 WESTLAKES DR STE 300, BERWYN, PA 19312-2410
(877) 500-4742
(877) 500-4742
Mailing address
1055 WESTLAKES DR STE 300, BERWYN, PA 19312-2410
(877) 500-4742
(877) 500-4742
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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