Organization
DIVERSITY HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAREK JOZEF GAUL RPT (ADMINISTRATOR)
(248) 483-9220
Entity
Organization
Contact information
Practice address
27208 SOUTHFIELD RD, 7, LATHRUP VILLAGE, MI 48076-7912
(248) 483-9220
(248) 483-9221
Mailing address
27208 SOUTHFIELD RD, 7, LATHRUP VILLAGE, MI 48076-7912
(248) 483-9220
(248) 483-9221
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/22/2009
Last updated
01/10/2012
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