Organization
DIVERSE DISABILITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HODO FAYSAL OSMAN (OWNER PARTNER)
(651) 434-0500
Entity
Organization
Contact information
Practice address
2274 COUNTY ROAD E W, NEW BRIGHTON, MN 55112-7141
(651) 434-0500
Mailing address
2274 COUNTY ROAD E W, NEW BRIGHTON, MN 55112-7141
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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