Organization
RESOURCES FOR HUMAN DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWNA SIDIBE BSED (DIRECTOR OF EARLY INTERVENTION SERV)
(215) 508-5800
Entity
Organization
Contact information
Practice address
90 ROCHELLE AVE, PHILADELPHIA, PA 19128-3808
(215) 508-5800
(215) 508-3212
Mailing address
4700 WISSAHICKON AVE, PHILADELPHIA, PA 19144-4248
(215) 951-0300
(215) 951-0312
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000017080312
—
PA
Enumeration date
12/12/2007
Last updated
12/12/2007
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