Organization · Type 2 NPI
Kencrest Services
Intellectual Disabilities Intermediate Care Facility · Philadelphia, PA
NPI number
1669507182
Active
Practice location
6341 Ridge Ave
Philadelphia, PA 19128-2527
Fax (610) 825-4127
Mailing address
960A Harvest Dr, Suite 100
Blue Bell, PA 19422-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 517910 (PA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1669507182
Kencrest Services's National Provider Identifier is 1669507182, issued on Feb 23, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 6, 2016.