# PHILADELPHIA SUPPORTIVE LIVING SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033056718
- **Authorized official:** DIANA ROBINSON (DIRECTOR)
- **Authorized official phone:** (835) 226-6619

## Contact information

- **Practice address:** 1370 N 75TH ST, PHILADELPHIA, PA 19151-2935
- **Practice address phone:** (835) 226-6619
- **Mailing address:** 1370 N 75TH ST, PHILADELPHIA, PA 19151-2935
- **Mailing address phone:** (835) 226-6619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2026
- **Last updated:** 05/01/2026