Intercommunity Action, Inc. in Philadelphia - Intermediate Care Facility, Intellectual Disabilities

Intercommunity Action, Inc. - NPI 1407075245

Intercommunity Action, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Philadelphia, Pennsylvania. Intercommunity Action, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Intercommunity Action, Inc. is 1407075245. The last update date is 2020-08-22.

Intercommunity Action, Inc.'s current location address is 6012 Ridge Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2154870906 and fax number 2154873716. The mailing address for Intercommunity Action, Inc. is 6012 Ridge Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Intercommunity Action, Inc.
Address 6012 Ridge Ave, Philadelphia, Pennsylvania
Phone Number 2154870906
Fax Number 2154873716
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Bolin David
Telephone Number 2154870906

NPI Number Detail

NPI Number 1407075245
Provider Enumeration Date 2007-04-24
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 6012 Ridge Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191281643
Phone Number 2154870906
Fax Number 2154873716

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000008360047 PA --

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FAQs about Intercommunity Action, Inc.

What is the Intercommunity Action, Inc.'s unique identification number?

The Intercommunity Action, Inc. has been assigned the NPI (National Provider Identifier) Number 1407075245 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Intercommunity Action, Inc. is located?

The Intercommunity Action, Inc. is situated at the following address: 6012 Ridge Ave, Philadelphia, PA, 191281643.

What is the Intercommunity Action, Inc.'s specialty and taxonomy code?

The Intercommunity Action, Inc.'s specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.

On what date did Intercommunity Action, Inc. receive its 1407075245 assignment from the Centers for Medicare & Medicaid Services?

The Intercommunity Action, Inc. was assigned its 1407075245 on 2007-04-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Intercommunity Action, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Intercommunity Action, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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