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Independent Service Provider, Llc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Harrisburg, Pennsylvania
NPI 1740959535

Independent Service Provider, Llc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Harrisburg, PA. Independent Service Provider, Llc practices in Harrisburg, PA. The NPI Number for Independent Service Provider, Llc is 1740959535 and holds a License No. (Pennsylvania).

The current practice location address for Independent Service Provider, Llc is 3544 N Progress Ave Ste 205, Harrisburg, PA and can be reached out via phone at 717-882-7892.

Location: 3544 N Progress Ave Ste 205, Harrisburg, PA, 17110-9638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740959535
Provider Name
Independent Service Provider, Llc
Credential
Provider Entity Type
Organization
Address
3544 N Progress Ave Ste 205, Harrisburg, PA, 17110-9638
Phone Number
717-882-7892
Fax Number
Provider Enumeration Date
09/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3544 N Progress Ave Ste 205
City
Harrisburg
State
Pennsylvania
Zip
17110-9638
Phone Number
717-882-7892
Fax Number
person
Provider Business Mailing Address Details
Address
3544 N Progress Ave Ste 205
City
Harrisburg
State
Pennsylvania
Zip
17110-9638
Phone Number
717-882-7892
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
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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