Organization
DIVERSITY HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVN WILLIAMS (OWNER)
(266) 899-9261
Entity
Organization
Contact information
Practice address
342 N WATER ST, MILWAUKEE, WI 53202-5514
(262) 899-9261
Mailing address
3532 E TESCH AVE, ST FRANCIS, WI 53235-4863
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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