Provider Demographics
NPI:1083934509
Name:DIVERSITY CARE PROVIDERS, INC.
Entity Type:Organization
Organization Name:DIVERSITY CARE PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:T
Authorized Official - Last Name:UCHEGBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-771-4526
Mailing Address - Street 1:12315 FERN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2217
Mailing Address - Country:US
Mailing Address - Phone:832-771-4526
Mailing Address - Fax:713-785-4806
Practice Address - Street 1:12315 FERN MEADOW DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2217
Practice Address - Country:US
Practice Address - Phone:832-771-4526
Practice Address - Fax:713-785-4806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health