KENCCID is a community based residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. KENCCID NPI is 1356940183. The provider is registered as an organization entity type.
The provider's business location address is:
9350 ASHTON RD RM 202
PHILADELPHIA, PA
ZIP 19114-402
Phone: (215) 288-9797
The provider's authorized official is Michael Anthony Deangelo .
The authorized official title is It Systems Director and has the following contact phone number (215) 288-9797.
The enumeration date for this NPI number is 10/22/2020 and was last updated on 10/22/2020.