OrganizationActive
Diversified Supportive Services
NPI 1942461579 · Developmentally Disabled Services Day Training Agency · Philadelphia, PA
Provider details
- NPI number
- 1942461579
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Rasheen Beard, Co-Manager(215) 673-2778
- License
- 383203 (PA)
Specialties & taxonomies
Agencies
Practice location
2824 Cottman Ave
Suite 1
Philadelphia, PA 19149-1400
Phone: (215) 673-2778
Fax: (215) 673-3451
Approximate (ZIP-level) locationGet directions
Mailing address
2824 Cottman Ave
Philadelphia, PA 19149-1400
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2008-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.