Diversified Health And Supportive Services Llc

LBN: Diversified Health And Supportive Services Llc
Diversified Health And Supportive Services Llc is an health care organization with primary practice located at 11520 N Port Washington Rd Ste 208 , Mequon WI 53092-3432. The organization recently has only one registered license in Agencies / Home Health, which is considered as the primary health care specialty. Diversified Health And Supportive Services Llc can be contacted via phone (414) 651-5954, or through Pettis, Shauna via phone (414) 748-7776.

Contact Information

Primary practice address
11520 N Port Washington Rd Ste 208 Mequon WI 53092-3432
Phone: (414) 651-5954
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pettis, Shauna MSN, APRN, AGPCNP-BC
Phone: (414) 748-7776

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X

Profile Details

NPI number 1225783913
LBN Legal business name Diversified Health And Supportive Services Llc
DBA Doing business as
Authorized official Pettis, Shauna MSN, APRN, AGPCNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2022
Last updated Feb 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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