Organization
INDEPENDENT QUALITY SERVICES INC
Active
Parent organization
PARENT ORGANIZATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARENT ORGANIZATION
Authorized official
MR. ALIE BOMBOLAI BANGURA N/A (DEPUTY CEO/PROGRAM SPECIALIST)
(267) 449-9976
Entity
Organization
Contact information
Practice address
6152 KINGSESSING AVE, PHILADELPHIA, PA 19142-2426
(267) 449-9976
Mailing address
6152 KINGSESSING AVE, PHILADELPHIA, PA 19142-2426
(267) 449-9976
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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