Organization · Type 2 NPI

Breathe New Life, Llc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Philadelphia, PA

NPI number 1508103441 Active

Practice location

4311 Brown St
Philadelphia, PA 19104-1321

Specialties and licenses

TaxonomyCodeLicense
Home Health Agency 251E00000XNone listed
Health Maintenance Organization 302R00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1508103441

Breathe New Life, Llc.'s National Provider Identifier is 1508103441, issued on Jan 11, 2013. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 11, 2013.