Organization
RESOURCES FOR HUMAN DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ADRIENNE ROTELLA MS (AR COORDINATOR)
(215) 951-0300
Entity
Organization
Contact information
Practice address
576 FAIRTHORNE AVE, PHILADELPHIA, PA 19128-2413
(215) 848-2661
(215) 848-2678
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
1000017080294
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017080294
—
PA
Enumeration date
03/07/2007
Last updated
08/22/2020
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