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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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