| Organization Name: | JUDITH CREED HOMES FOR ADULT INDEPENDENCE, INC. |
| NPI Number: | 1447688734 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STACY LEVITAN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 274 S Bryn Mawr Ave Bryn Mawr |
| State: | PA US |
| Postal Code: | 190102105 |
| Phone Number: | 6109222480 |
| Fax Number: | 6105204705 |
| NPI Enumeration Date: | 10/23/2013 |
| NPI Last Update Date: | 10/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 180590 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |