Organization
DIVERSITY HOME HEALTH CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIA MOUA KHANG (PRESIDENT)
(651) 224-2201
Entity
Organization
Contact information
Practice address
565 UNIVERSITY AVE W, SUITE 213, SAINT PAUL, MN 55103-1960
(651) 224-2201
(651) 224-0881
Mailing address
565 UNIVERSITY AVE W, SUITE 213, SAINT PAUL, MN 55103-1960
(651) 224-2201
(651) 224-0881
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
21984
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163775
—
MN
05
—
4989000
—
MN
05
—
4999999
—
MN
Enumeration date
12/29/2006
Last updated
08/22/2020
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