NPI 1023238128
Intercommunity Action, INC.
Practice location
- Address
- 3717 Manayunk Ave, Philadelphia, PA 19128-3704
- Phone
- (215) 487-1598
- Mailing address
- 6012 Ridge Ave, Philadelphia, PA 19128-1643
Authorised official
- Name
- David Bolin
- Title
- Executive Director
- Phone
- (215) 487-0906
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1023238128
- Entity type
- Organization
- NPI issued
- 30 Apr 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.