Organization
DIVERSA MEDICAL SUPPLY LTD
Active
Other names
Diversa Medical Supplies Limited, Diversa Health & Science Ltd, Diversa Health & Sciences Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. JAMES JR. (GEN MGR)
(330) 239-0969
Entity
Organization
Contact information
Practice address
4695 RIDGE RD, WADSWORTH, OH 44281-9758
(330) 239-0969
Mailing address
4695 RIDGE RD, WADSWORTH, OH 44281-9758
(330) 239-0969
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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