Organization · Type 2 NPI

Kenccid

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Philadelphia, PA

NPI number 1356940183 Active

Practice location

9350 Ashton Rd Rm 202
Philadelphia, PA 19114-7402

Call (215) 288-9797 Map

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1356940183

Kenccid's National Provider Identifier is 1356940183, issued on Oct 22, 2020. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 22, 2020.