Kencrest Services

NPI 1033244454 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1033244454
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM WILLIAM
Position EXECUTIVE DIRECTOR
Phone (215) 242-4344
Fax (215) 242-5771
Practice Location
1 WATERMAN AVE
PHILADELPHIA PA, 19118-3625, US
Phone (215) 242-4344
Fax (215) 242-5771
Business Location
502 W GERMANTOWN PIKE
SUITE 200
PLYMOUTH MEETING PA, 19462-1348, US
Phone
Fax
Toxanomy
Taxonomy Code 315P00000X
License State Pennsylvania
License Number 517910
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According to our database, Kencrest Services NPI is 1033244454, taxonomy code is 315P00000X and license number is 517910, license state is located at Pennsylvania. Kencrest Services physically located at 1 Waterman Ave, Philadelphia PA, 19118-3625. NPI Number 1033115704 has the healthcare provider type.

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1033244454 NPI number is provided on an as is basis without warranty of any kind. 1033244454 is maintained by the National Plan & Provider Enumeration System. The contents of Kencrest Services are for informational purposes only.