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NPI Code Detail

MEDICARE: DIVERSE CARE SERVICES LLC

MEDICARE: DIVERSE CARE SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1447107347
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIVERSE CARE SERVICES LLC
Provider Business Mailing Address
First Line : 4950 N 21ST ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209-5750
Country : US
Telephone Number : 414-242-2627
Fax Number :
Provider Business Practice Location Address
First Line : 4950 N 21ST ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53209-5750
Country : US
Telephone Number : 414-242-2627
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TERIYANNA WARD
Credential :
Telephone Number : 414-242-2627
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “DIVERSE CARE SERVICES LLC ” Practice Location

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