| Homestead Cognitive Services Llc | |
|
314 S Henderson Rd Unit G-103 King Of Prussia PA 19406-2449 | |
| (215) 206-3562 | |
| Not Available |
| Full Name | Homestead Cognitive Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 314 S Henderson Rd Unit G-103, King Of Prussia, Pennsylvania |
| Authorized Official Name and Position | Jordan Breslow (ADMINISTRATOR) |
| Authorized Official Contact | 2672815007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homestead Cognitive Services Llc Po Box 20 Horsham PA 19044-0020 Ph: () - | Homestead Cognitive Services Llc 314 S Henderson Rd Unit G-103 King Of Prussia PA 19406-2449 Ph: (215) 206-3562 |
| NPI Number | 1760204309 |
|---|---|
| Provider Enumeration Date | 10/25/2024 |
| Last Update Date | 10/25/2024 |
| Certification Date | 10/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760204309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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