Organization
DIVERSITY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GERVAIS (OWNER)
(561) 634-6399
Entity
Organization
Contact information
Practice address
4200 COQUINA WINDS WAY, GREENACRES, FL 33463-3415
(561) 634-6399
Mailing address
4200 COQUINA WINDS WAY, GREENACRES, FL 33463-3415
(561) 634-6399
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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