Organization
DIVERSE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN SUDDUTH (MANAGER)
(601) 479-4963
Entity
Organization
Contact information
Practice address
383 BRIARWOOD RD LOT 99, MERIDIAN, MS 39305-9105
(601) 581-1420
Mailing address
383 BRIARWOOD RD LOT 99, MERIDIAN, MS 39305-9105
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
MS
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
06/17/2009
Last updated
07/21/2022
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