person
Mr. Daquon Reid
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, Pennsylvania
NPI 1609501873

Daquon Reid is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Philadelphia, PA. Daquon Reid practices in Philadelphia, PA. The NPI Number for Daquon Reid is 1609501873 and holds a License No. (Pennsylvania).

The current practice location address for Daquon Reid is 737 Bainbridge St Ste 152, Philadelphia, PA and can be reached out via phone at 267-269-1770.

Location: 737 Bainbridge St Ste 152, Philadelphia, PA, 19147-2058
person
Provider Profile Details
NPI Number
1609501873
Provider Name
Daquon Reid
Credential
Provider Entity Type
Individual
Gender
Male
Address
737 Bainbridge St Ste 152, Philadelphia, PA, 19147-2058
Phone Number
267-269-1770
Fax Number
Provider Enumeration Date
07/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
737 Bainbridge St Ste 152
City
State
Zip
19147-2058
Phone Number
267-269-1770
Fax Number
person
Provider Business Mailing Address Details
Address
737 Bainbridge St Ste 152
City
State
Zip
19147-2058
Phone Number
267-269-1770
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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