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Organization
DIVERSITY HOME CARE SERVICES LLC
Active
Organization
DIVERSITY HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAREK JOZEF GAUL RPT (ADMINISTRATOR)
(248) 483-9220
Entity
Organization
Contact information
Practice address
27208 SOUTHFIELD RD, 7, LATHRUP VILLAGE, MI 48076-7912
(248) 483-9220
(248) 483-9221
Mailing address
27208 SOUTHFIELD RD, 7, LATHRUP VILLAGE, MI 48076-7912
(248) 483-9220
(248) 483-9221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
12/22/2009
Last updated
01/10/2012
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