Independent Service Provider, LLC
Independent Service Provider, LLC is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Harrisburg, Pennsylvania. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3544 N Progress Ave Ste 205Harrisburg, PA 17110-9638
Phone: (717) 882-7892
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1740959535 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tilak Niroula — Director · (717) 882-7892 |
| NPI enumerated | September 7, 2021 |
| Last updated in NPPES | September 7, 2021 |
| Certification date | September 7, 2021 |
| Mailing address | 3544 N Progress Ave Ste 205, Harrisburg, PA 17110-9638 |