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Organization

DIVERSE HOME CARE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LEYSI MERCEDES CASANOVA (ADMINISTRATOR)
(786) 797-0300
Entity
Organization

Contact information

Practice address
8040 NW 95TH ST STE 226, HIALEAH GARDENS, FL 33016-2361
(786) 773-5112
(305) 675-2443
Mailing address
8040 NW 95TH ST STE 226, HIALEAH GARDENS, FL 33016-2361
(786) 773-5112
(305) 675-2443

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
261QD1600X
Developmental Disabilities Clinic/Center
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
Primary
374U00000X
Home Health Aide
376J00000X
Homemaker

Other

Enumeration date
09/18/2015
Last updated
07/27/2022
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