Diversified Lifestyle Services

LBN: Diversified Lifestyle Services
Diversified Lifestyle Services is an health care organization with primary practice located at 137 National Plz Suite 300, Oxon Hill MD 20745-1152. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Diversified Lifestyle Services can be contacted via phone (301) 804-8279, or through Lancaster, Antoinette via phone (202) 239-5563.

Contact Information

Primary practice address
137 National Plz Suite 300 Oxon Hill MD 20745-1152
Phone: (301) 804-8279
Fax: (240) 204-8153
Website:
Map and Directions
Authorized official contact:
Name: Lancaster, Antoinette
Phone: (202) 239-5563

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LC5764 Maryland

Profile Details

NPI number 1881001857
LBN Legal business name Diversified Lifestyle Services
DBA Doing business as Diversified Lifestyle Services
Authorized official Lancaster, Antoinette
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 22nd, 2014
Last updated Dec 10th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881001857 NPPES
Maryland MEDICAID 755104500

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