Organization
KENCREST SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TONI MCNEIL (CFO)
(610) 825-9360
Entity
Organization
Contact information
Practice address
5500 HENRY AVE, PHILADELPHIA, PA 19128-2701
(610) 825-9360
Mailing address
502 W GERMANTOWN PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1348
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
109640
PA
Other
Enumeration date
05/14/2007
Last updated
05/04/2016
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