Organization
DIVERSE HEALTH SOLUTIONS LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAKESHA L. FORD (CHIEF COMPLIANCE OFFICER)
(762) 358-0254
Entity
Organization
Contact information
Practice address
2601 DEANS BRIDGE RD STE D, AUGUSTA, GA 30906-2235
(706) 951-6337
Mailing address
13001 CORNELL DR APT 434, DALLAS, TX 75240-5439
(815) 558-4595
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/26/2024
Last updated
12/12/2024
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