NPI 1407075245

Intercommunity Action, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Philadelphia, PA

Practice location

Address: 2405 N 54th St, Philadelphia, PA 19131-2423
Phone: (215) 477-6661
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

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Pennsylvania →

Registry record

NPI: 1407075245
Entity type: Organization
NPI issued: 24 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.