# DIVERSITY HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1194129593
- **Authorized official:** CAROLYN MCKINSEY DALTON (OWNER)
- **Authorized official phone:** (225) 302-7729

## Contact information

- **Practice address:** 2035 WOODDALE BLVD STE E, BATON ROUGE, LA 70806-1517
- **Practice address phone:** (225) 302-7729
- **Practice address fax:** (225) 330-4758
- **Mailing address:** 2035 WOODDALE BLVD STE E, BATON ROUGE, LA 70806-1517
- **Mailing address phone:** (225) 302-7729
- **Mailing address fax:** (225) 330-4758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 15424 | LA | Yes |

## Other

- **Enumeration date:** 10/14/2014
- **Last updated:** 10/14/2014
