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Organization
DIVERSE SUPPORTS INC.
Active
Organization
DIVERSE SUPPORTS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA HEGGIE (OWNER)
(410) 624-6700
Entity
Organization
Contact information
Practice address
3402 PINEWOOD AVE, BALTIMORE, MD 21206-1626
(410) 624-6700
Mailing address
3402 PINEWOOD AVE, BALTIMORE, MD 21206-1626
(410) 624-6700
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/11/2026
Last updated
07/11/2026
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