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Organization

DIVERSE HEALTHCARE SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANETA MOSLEY (OWNER)
(614) 279-9545
Entity
Organization

Contact information

Practice address
3556 SULLIVANT AVE, SUITE 104, COLUMBUS, OH 43204-1153
(614) 279-9545
Mailing address
3556 SULLIVANT AVE, SUITE 104, COLUMBUS, OH 43204-1153
(614) 279-9545

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/26/2010
Last updated
02/26/2010
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