Provider Demographics
NPI:1760517205
Name:EMAN COMMUNITY LIVING INC.
Entity Type:Organization
Organization Name:EMAN COMMUNITY LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:215-849-3377
Mailing Address - Street 1:820 E VERNON RD FL 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1519
Mailing Address - Country:US
Mailing Address - Phone:215-849-3377
Mailing Address - Fax:215-848-6267
Practice Address - Street 1:820 E VERNON RD FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-1519
Practice Address - Country:US
Practice Address - Phone:215-849-3377
Practice Address - Fax:215-848-6267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities