NPI 1164976700
Green Supportive Care
Practice location
- Address
- 708 E Sharpnack St, Phila, PA 19119-1535
- Phone
- (215) 528-2926
Authorised official
- Name
- Shardai Green
- Title
- Member-Llc
- Phone
- (215) 528-2926
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1164976700
- Entity type
- Organization
- NPI issued
- 11 Aug 2016
- Record last updated
- 11 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.