Organization
KENCREST SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA MCNEAL (CFO)
(610) 825-9360
Entity
Organization
Contact information
Practice address
6341 RIDGE AVE, PHILADELPHIA, PA 19128-2527
(610) 825-9360
(610) 825-4127
Mailing address
960A HARVEST DR, SUITE 100, BLUE BELL, PA 19422-1900
(610) 825-9360
(610) 825-4127
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
517910
PA
Other
Enumeration date
02/23/2007
Last updated
07/06/2016
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