# A FULFILLING LIFE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396693909
- **Authorized official:** KENYA KENYATTA REED MS (CEO)
- **Authorized official phone:** (215) 416-8664

## Contact information

- **Practice address:** 3000 W MASTER ST APT 408, PHILADELPHIA, PA 19121-4416
- **Practice address phone:** (215) 416-8664
- **Mailing address:** 3000 W MASTER ST APT 408, PHILADELPHIA, PA 19121-4416
- **Mailing address phone:** (215) 416-8664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WG0000X | General Practice Registered Nurse | — | NULL | Yes |
| 163WG0000X | General Practice Registered Nurse | — | — | Yes |
| 164W00000X | Licensed Practical Nurse | — | NULL | — |
| 164W00000X | Licensed Practical Nurse | — | — | — |

## Other

- **Enumeration date:** 03/19/2026
- **Last updated:** 03/19/2026