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Organization

DIVERSITY HOME HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EVARISTO ANTONIO RODRIGUEZ (ADMINISTRATOR)
(414) 422-5317
Entity
Organization

Contact information

Practice address
2455 S HOWELL AVE, MILWAUKEE, WI 53207-1638
(414) 810-4675
(414) 885-0877
Mailing address
2455 S HOWELL AVE, MILWAUKEE, WI 53207-1638
(414) 810-4675
(414) 885-0877

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
347C00000X
Private Vehicle
Primary

Other

Enumeration date
07/21/2020
Last updated
09/16/2022
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