Organization
DIVERSITY SUPPORT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA DENISE MILES (DIRECTOR)
(330) 328-7645
Entity
Organization
Contact information
Practice address
2680 N HAVEN BLVD, CUYAHOGA FALLS, OH 44223-2124
(330) 794-5716
Mailing address
2680 N HAVEN BLVD, CUYAHOGA FALLS, OH 44223-2124
(330) 794-5716
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
376J00000X
Homemaker
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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