Organization
LEHIGH HUMAN SUPPORT SERVICES LLC
Active
Other names
Lehigh Human Support Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADEWALE ALADE DOSUNMU SR. (OWNER/PRESIDENT)
(484) 221-8752
Entity
Organization
Contact information
Practice address
5020 HAMILTON BLVD, ALLENTOWN, PA 18106-9188
(484) 221-8752
(610) 619-9096
Mailing address
1132 HAMILTON ST STE 203, ALLENTOWN, PA 18101-1024
(484) 221-8752
(610) 819-9096
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
CER-00129046
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024804850004
—
PA
Enumeration date
06/01/2018
Last updated
06/01/2018
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