# DIVERSE HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053633321
- **Authorized official:** SHANETA MOSLEY (OWNER)
- **Authorized official phone:** (614) 279-9545

## Contact information

- **Practice address:** 3556 SULLIVANT AVE, SUITE 104, COLUMBUS, OH 43204-1153
- **Practice address phone:** (614) 279-9545
- **Mailing address:** 3556 SULLIVANT AVE, SUITE 104, COLUMBUS, OH 43204-1153
- **Mailing address phone:** (614) 279-9545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2010
- **Last updated:** 02/26/2010