# DIVERSE ABILITY SUPPORT LLC

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

## Provider details

- **NPI number:** 1134090509
- **Authorized official:** HASIYATOU SALI (CEO)
- **Authorized official phone:** (770) 906-2322

## Contact information

- **Practice address:** 3339 WATERSHED BLVD, LAUREL, MD 20724-1324
- **Practice address phone:** (770) 906-2322
- **Mailing address:** 3339 WATERSHED BLVD, LAUREL, MD 20724-1324
- **Mailing address phone:** (770) 906-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/17/2025
- **Last updated:** 09/17/2025