Healthcare Provider Details

I. General information

NPI: 1598618480
Provider Name (Legal Business Name): FOUNDATION FOR INDIVIDUAL DIGNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 SAINT CHARLES ST FL 2
DREXEL HILL PA
19026-2016
US

IV. Provider business mailing address

133 SAINT CHARLES ST FL 2
DREXEL HILL PA
19026-2016
US

V. Phone/Fax

Practice location:
  • Phone: 484-477-3970
  • Fax:
Mailing address:
  • Phone: 484-477-3970
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELODY KING
Title or Position: CEO
Credential:
Phone: 484-477-3970