OrganizationActive
Kencrest Services
NPI 1033244454 · Intellectual Disabilities Intermediate Care Facility · Philadelphia, PA
Provider details
- NPI number
- 1033244454
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tonia Mcneal, Cfo(610) 825-9360
- License
- 517910 (PA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1 Waterman Ave
Philadelphia, PA 19118-3625
Phone: (610) 825-9360
Fax: (610) 825-4127
Approximate (ZIP-level) locationGet directions
Mailing address
960a Harvest Dr
Blue Bell, PA 19422-1900
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2016-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.