Organization · Type 2 NPI
Independent Service Provider, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Harrisburg, PA
Practice location
3544 N Progress Ave Ste 205
Harrisburg, PA 17110-9638
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1740959535
Independent Service Provider, LLC's National Provider Identifier is 1740959535, issued on Sep 7, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Harrisburg, PA. The record was last updated on Sep 7, 2021.