Embolden Community Allies - Philadelphia, PA

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.

Location: 4000 Gypsy Ln Unit 204, Philadelphia, PA, 19129-5405

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

Identifier	Type	State	Issuer
103643212	05	PA

Address

4000 Gypsy Ln Unit 204

City

Philadelphia

State

Pennsylvania

Zip

19129-5405

Phone Number

267-810-4866

Fax Number

Address

4000 Gypsy Ln Unit 204

City

Philadelphia

State

Pennsylvania

Zip

19129-5405

Phone Number

267-810-4866

Fax Number

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Speciality

Taxonomy

320600000X

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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