NPI Index

LEGACY RESIDENTIAL PROGRAM

Case Management

Active Organization
NPI: 1003506171

Practice Address

2156 N 30TH ST
Philadelphia, PA 19121

Phone: (267) 315-5124

Specialties

Specialty Code Primary License
Assisted Living Facility - Assisted Living, Mental Illness 3104A0625X No -
Intermediate Care Facility, Intellectual Disabilities 315P00000X No -
Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X No -
Community Based Residential Treatment Facility, Mental Illness 320800000X No -
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320900000X No -
Psychiatric Residential Treatment Facility 323P00000X No -
Substance Abuse Rehabilitation Facility 324500000X No -
Case Management 251B00000X Yes -

Frequently Asked Questions

NPI 1003506171 is the National Provider Identifier for LEGACY RESIDENTIAL PROGRAM, a Case Management provider located in Philadelphia, PA. This NPI was enumerated on May 11, 2023.

Quick Facts

NPI
1003506171
Type
Organization
Enumerated
May 11, 2023
Last Updated
May 11, 2023

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