NPI 1265040711

Diversity Home Health Services

Organisation Private Vehicle Milwaukee, WI

Practice location

Address: 2455 S Howell Ave, Milwaukee, WI 53207-1638
Phone: (414) 810-4675
Fax: (414) 885-0877

Authorised official

Name: Evaristo Antonio Rodriguez
Title: Administrator
Phone: (414) 422-5317

Registered specialties (2)

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Registry record

NPI: 1265040711
Entity type: Organization
NPI issued: 21 Jul 2020
Record last updated: 16 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.