Whalio Doctors

NPI 1164976700

Green Supportive Care

Organisation Developmentally Disabled Services Day Training Agency Phila, PA

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
Agencies Taxonomy 251C00000X

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.