Organization
A HOME FOR RENEWAL INC.
Active
Organization
A HOME FOR RENEWAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYIKIA S. ALSTON LBS (CEO)
(215) 520-5868
Entity
Organization
Contact information
Practice address
118 MONTGOMERY AVE APT C1-2, BALA CYNWYD, PA 19004-2962
(215) 520-5868
Mailing address
118 MONTGOMERY AVE APT C1-2, BALA CYNWYD, PA 19004-2962
(215) 520-5868
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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