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Organization

FORMOSITY SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALIMATOU DIALLO (OWNER)
(215) 430-2317
Entity
Organization

Contact information

Practice address
7000 REEDLAND ST, PHILADELPHIA, PA 19142-1716
(267) 243-0198
Mailing address
7000 REEDLAND ST, PHILADELPHIA, PA 19142-1716
(267) 243-0198

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
251S00000X
Community/Behavioral Health Agency
253Z00000X
In Home Supportive Care Agency
320800000X
Mental Illness Community Based Residential Treatment Facility
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
372500000X
Chore Provider
372600000X
Adult Companion
374U00000X
Home Health Aide
Primary
385H00000X
Respite Care

Other

Enumeration date
05/16/2024
Last updated
08/06/2025
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