Organization
JUDITH CREED HOMES FOR ADULT INDEPENDENCE, INC.
Active
Other names
JCHAI
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LEVITAN ESQ. (EXECUTIVE DIRECTOR)
(610) 922-2480
Entity
Organization
Contact information
Practice address
274 S BRYN MAWR AVE, BRYN MAWR, PA 19010-2105
(610) 922-2480
(610) 520-4705
Mailing address
274 S BRYN MAWR AVE, BRYN MAWR, PA 19010-2105
(610) 922-2480
(610) 520-4705
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
180590
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000872
—
PA
Enumeration date
10/23/2013
Last updated
10/23/2013
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