1003506171 LEGACY RESIDENTIAL PROGRAM
Case Management Agency
Active
Basic Information
- Organization Name
- LEGACY RESIDENTIAL PROGRAM
- Enumeration Date
- May 11, 2023
- Last Update
- May 11, 2023
- Authorized Official
- MRS. ASHLEY EDWARDS RN
CEO
Phone: (215) 397-7823
Practice Location
- Address
- 2156 N 30TH ST
PHILADELPHIA, PA 191211101 - Phone
- (267) 315-5124
- Fax
- (267) 324-3106
Mailing Address
- Address
- 8480 LIMEKILN PIKE PH 5
WYNCOTE, PA 190952816 - Phone
- (267) 315-5124
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) Assisted Living, Mental Illness | 3104A0625X | Assisted Living Facility | N/A | N/A | No |
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Community Based Residential Treatment Facility, Mental Illness | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Psychiatric Residential Treatment Facility | 323P00000X | Psychiatric Residential Treatment Facility | N/A | N/A | No |
| Substance Abuse Rehabilitation Facility | 324500000X | Substance Abuse Rehabilitation Facility | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366151854 | 05 | DE | N/A |
| 1386342533 | 05 | PA | N/A |
Frequently Asked Questions
What is LEGACY RESIDENTIAL PROGRAM's NPI number?
LEGACY RESIDENTIAL PROGRAM's NPI number is 1003506171.
Which doctor has NPI number 1003506171?
The doctor with NPI number 1003506171 is LEGACY RESIDENTIAL PROGRAM.
What is LEGACY RESIDENTIAL PROGRAM's practice address?
LEGACY RESIDENTIAL PROGRAM's practice address is 2156 N 30TH ST, PHILADELPHIA, PA, 191211101.
Which doctor practices at 2156 N 30TH ST, PHILADELPHIA, PA, 191211101?
LEGACY RESIDENTIAL PROGRAM practices at 2156 N 30TH ST, PHILADELPHIA, PA, 191211101.
What is LEGACY RESIDENTIAL PROGRAM's mailing address?
LEGACY RESIDENTIAL PROGRAM's mailing address is 8480 LIMEKILN PIKE PH 5, WYNCOTE, PA, 190952816.
What is LEGACY RESIDENTIAL PROGRAM's phone number?
LEGACY RESIDENTIAL PROGRAM's phone number is (267) 315-5124.
Who is (267) 315-5124?
(267) 315-5124 is the phone number for LEGACY RESIDENTIAL PROGRAM.
What is LEGACY RESIDENTIAL PROGRAM's specialty?
LEGACY RESIDENTIAL PROGRAM's specialty is Case Management Agency.
What type of doctor is LEGACY RESIDENTIAL PROGRAM?
LEGACY RESIDENTIAL PROGRAM is a Case Management Agency.
Is LEGACY RESIDENTIAL PROGRAM a Case Management?
Yes, LEGACY RESIDENTIAL PROGRAM is a Case Management.
Is LEGACY RESIDENTIAL PROGRAM still practicing?
Yes, LEGACY RESIDENTIAL PROGRAM is currently practicing.
Is LEGACY RESIDENTIAL PROGRAM accepting new patients?
LEGACY RESIDENTIAL PROGRAM may be accepting new patients. Please call their office at (267) 315-5124 to inquire about availability.
Is NPI 1003506171 still active?
Yes, NPI 1003506171 is currently active.
Where does LEGACY RESIDENTIAL PROGRAM practice?
LEGACY RESIDENTIAL PROGRAM practices in PHILADELPHIA, PA.