Organization
DIVERSIFIED SUPPORTIVE SERVICES
Active
Organization
DIVERSIFIED SUPPORTIVE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RASHEEN HALIMAH BEARD (CO-MANAGER)
(215) 673-2778
Entity
Organization
Contact information
Practice address
2824 COTTMAN AVE, SUITE 1, PHILADELPHIA, PA 19149-1400
(215) 673-2778
(215) 673-3451
Mailing address
2824 COTTMAN AVE, SUITE 1, PHILADELPHIA, PA 19149-1400
(215) 673-2778
(215) 673-3451
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
383203
PA
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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