Organization
HOMESTEAD COGNITIVE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN BRESLOW (ADMINISTRATOR)
(267) 281-5007
Entity
Organization
Contact information
Practice address
314 S HENDERSON RD UNIT G-103, KING OF PRUSSIA, PA 19406-2449
(215) 206-3562
Mailing address
PO BOX 20, HORSHAM, PA 19044-0020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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