Organization
DIVERSITY HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CAROLYN M. DALTON (PRESIDENT)
(225) 356-3193
Entity
Organization
Contact information
Practice address
1986 DALLAS DR STE 9, BATON ROUGE, LA 70806-1400
(225) 302-7729
Mailing address
1986 DALLAS DR STE 9, BATON ROUGE, LA 70806-1400
(225) 302-7729
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1410331
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1410331
—
LA
Enumeration date
09/29/2008
Last updated
09/29/2008
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