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The Randolph Logan Group Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colmar, Pennsylvania
NPI 1639948508

The Randolph Logan Group Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Plymouth Meeting, PA. The Randolph Logan Group Llc practices in Colmar, PA. The NPI Number for The Randolph Logan Group Llc is 1639948508 and holds a License No. (Pennsylvania).

The current practice location address for The Randolph Logan Group Llc is 2403 W Walnut St, Colmar, PA and can be reached out via phone at 484-213-0043.

Location: 2403 W Walnut St, Colmar, PA, 19462-1046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639948508
Provider Name
The Randolph Logan Group Llc
Credential
Provider Entity Type
Organization
Address
2403 W Walnut St, Colmar, PA, 19462-1046
Phone Number
484-213-0043
Fax Number
Provider Enumeration Date
12/20/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2403 W Walnut St
City
Colmar
State
Pennsylvania
Zip
18915-9704
Phone Number
484-213-0043
Fax Number
person
Provider Business Mailing Address Details
Address
2403 W Walnut St
City
Colmar
State
Pennsylvania
Zip
18915-9704
Phone Number
484-213-0043
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
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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