institution
Kenccid
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Philadelphia, Pennsylvania
NPI 1356940183

Kenccid is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Philadelphia, PA. Kenccid practices in Philadelphia, PA. The NPI Number for Kenccid is 1356940183 and holds a License No. (Pennsylvania).

The current practice location address for Kenccid is 9350 Ashton Rd Rm 202, Philadelphia, PA and can be reached out via phone at 215-288-9797.

Location: 9350 Ashton Rd Rm 202, Philadelphia, PA, 19114-7402
institution
Provider Profile Details
NPI Number
1356940183
Provider Name
Kenccid
Credential
Provider Entity Type
Organization
Address
9350 Ashton Rd Rm 202, Philadelphia, PA, 19114-7402
Phone Number
215-288-9797
Fax Number
Provider Enumeration Date
10/22/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100001000 05 PA
institution
Provider Business Practice Location Address Details
Address
9350 Ashton Rd Rm 202
City
State
Zip
19114-7402
Phone Number
215-288-9797
Fax Number
person
Provider Business Mailing Address Details
Address
9350 Ashton Rd Rm 202
City
State
Zip
19114-7402
Phone Number
215-288-9797
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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