Organization
RESOURCES FOR HUMAN DEVELOPMENT
Active
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
4651 TACONY ST, PHILADELPHIA, PA 19137-1121
(215) 438-4676
(215) 438-1301
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
1000017080113
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017080113
—
PA
Enumeration date
03/07/2007
Last updated
08/22/2020
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