Basic Information
Provider Information
NPI: 1386165017
EntityType: 2
ReplacementNPI:  
OrganizationName: RESOUCES FOR HUMAN DEVELOPMENT, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
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Credential:  
OtherOrganizationName: RHD - SOUTH DAKOTA HOST HOME
OtherOrganizationType: 5
OtherLastName:  
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OtherCredential:  
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Mailing Information
Address1: 4700 WISSAHICKON AVE STE 126
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191444248
CountryCode: US
TelephoneNumber: 2159510300
FaxNumber:  
Practice Location
Address1: 705 E 41ST ST STE 230
Address2:  
City: SIOUX FALLS
State: SD
PostalCode: 571056048
CountryCode: US
TelephoneNumber: 2159510300
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/03/2017
LastUpdateDate: 07/03/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: GIORDANO
AuthorizedOfficialFirstName: MARCO
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 2159510300
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
320900000X  Y Residential Treatment FacilitiesCommunity Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 

No ID Information.


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