OrganizationActive
Green Supportive Care
NPI 1164976700 · Developmentally Disabled Services Day Training Agency · Phila, PA
Provider details
- NPI number
- 1164976700
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Shardai Green, Member-Llc(215) 528-2926
Specialties & taxonomies
Agencies
Practice location
708 E Sharpnack St
Phila, PA 19119-1535
Phone: (215) 528-2926
Approximate (ZIP-level) locationGet directions
Mailing address
708 E Sharpnack St
Phila, PA 19119-1535
Registry dates
- Enumerated
- 2016-08-11
- Last updated
- 2016-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.