# SOCIAL DIVERSITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SUNISS UP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609540681
- **Authorized official:** ESEL AGUILAR OWNER/TCM SUPERVISOR (CEO)
- **Authorized official phone:** (786) 975-7485

## Contact information

- **Practice address:** 12001 SW 128TH CT STE 101, MIAMI, FL 33186-4665
- **Practice address phone:** (786) 975-7485
- **Practice address fax:** (954) 860-7166
- **Mailing address:** 382 NE 19TH AVE, HOMESTEAD, FL 33033-5265
- **Mailing address phone:** (786) 975-7485
- **Mailing address fax:** (954) 860-7166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2021
- **Last updated:** 11/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 108167300 | 91 | FL |