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General NPI Number Information
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NPI Number | 1922560929
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Entity Type | Organization
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Legal Business Name | DIVERSE HOME CARE SERVICES INC
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 11820 MIRAMAR PKWY STE 219
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City | MIRAMAR
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State | FL
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Zip | 33025-5818
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Country | US
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Telephone | 954-743-6233
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Fax | 954-416-9070
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Provider Business Mailing Address
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Address Line | 11820 MIRAMAR PKWY STE 219
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City | MIRAMAR
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State | FL
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Zip | 33025-5818
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Country | US
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Telephone | 954-743-6233
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Fax | 954-416-9070
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEYSI M CASANOVA
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Credential |
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Telephone | 786-773-5112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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