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Contact Information

DIVERSIFIED SUPPORTIVE SERVICES LLC
1714 MEMPHIS ST
SUITE C-8
PHILADELPHIA, PA19125-2700
 Phone: 215-673-2778
 Fax: 215-673-3451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for DIVERSIFIED SUPPORTIVE SERVICES LLC

NPI # 1922321173
LBN Legal business name DIVERSIFIED SUPPORTIVE SERVICES LLC
Authorized official RASHEEN BETHEL - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/02/2010
Last updated 02/24/2016 - About 10 years ago
Identifiers
PA License # 16723601
PA License # 383203
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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