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Organization
A FULFILLING LIFE
Active
Organization
A FULFILLING LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA KENYATTA REED MS (CEO)
(215) 416-8664
Entity
Organization
Contact information
Practice address
3000 W MASTER ST APT 408, PHILADELPHIA, PA 19121-4416
(215) 416-8664
Mailing address
3000 W MASTER ST APT 408, PHILADELPHIA, PA 19121-4416
(215) 416-8664
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
—
NULL
163WG0000X
General Practice Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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