DIVERSIFIED HEALTH AND SUPPORTIVE SERVICES LLC

MEQUON, WI
NPI1225783913
Entity TypeOrganization
Authorized ContactSHAUNA PETTIS
Owner/Subadministrator
414-748-7776
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2022-02-21
Last Update Date2022-02-21
Business Address
DIVERSIFIED HEALTH AND SUPPORTIVE SERVICES LLC
11520 N PORT WASHINGTON RD STE 208
MEQUON, WI 53092-3432
Phone number: 414-651-5954
Mailing Address
DIVERSIFIED HEALTH AND SUPPORTIVE SERVICES LLC
2903 N 74TH ST APT 1
MILWAUKEE, WI 53210-1000
Phone number: 414-651-5954
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