institution
Embolden Community Allies
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Philadelphia, Pennsylvania
NPI 1104463736

Embolden Community Allies is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Philadelphia, PA. Embolden Community Allies practices in Philadelphia, PA. The NPI Number for Embolden Community Allies is 1104463736 and holds a License No. (Pennsylvania).

The current practice location address for Embolden Community Allies is 4000 Gypsy Ln Unit 204, Philadelphia, PA and can be reached out via phone at 267-810-4866. You can also correspond with Embolden Community Allies through the mailing address at 4000 GYPSY LN UNIT 204, PHILADELPHIA, PA - 19129-5405 (mailing address contact number: 267-810-4866).

Location: 4000 Gypsy Ln Unit 204, Philadelphia, PA, 19129-5405
institution
Provider Profile Details
NPI Number
1104463736
Provider Name
Embolden Community Allies
Credential
Provider Entity Type
Organization
Address
4000 Gypsy Ln Unit 204, Philadelphia, PA, 19129-5405
Phone Number
267-810-4866
Fax Number
Provider Enumeration Date
12/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
103643212 05 PA
institution
Provider Business Practice Location Address Details
Address
4000 Gypsy Ln Unit 204
City
State
Zip
19129-5405
Phone Number
267-810-4866
Fax Number
person
Provider Business Mailing Address Details
Address
4000 Gypsy Ln Unit 204
City
State
Zip
19129-5405
Phone Number
267-810-4866
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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