Organization
DIRECT SUPPORT SERVICES OF PENNSYLVANIA
Active
Other names
Supportive Care Resources
Organization subpart
No
Provider details
NPI number
Authorized official
CHELLI TIEAL GROSE-SMITH (CEO)
(267) 779-3316
Entity
Organization
Contact information
Practice address
1 W BROAD ST FL 11, BETHLEHEM, PA 18018-5717
(267) 779-3316
Mailing address
1 W BROAD ST FL 11, BETHLEHEM, PA 18018-5717
(267) 779-3316
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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