Provider Demographics
NPI:1114397452
Name:DIVERSE FAMILY SOLUTIONS
Entity Type:Organization
Organization Name:DIVERSE FAMILY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MONTANEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:954-993-0706
Mailing Address - Street 1:44 SE SEDONA CIR
Mailing Address - Street 2:UNIT 103
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4483
Mailing Address - Country:US
Mailing Address - Phone:954-993-0706
Mailing Address - Fax:772-382-0672
Practice Address - Street 1:44 SE SEDONA CIR
Practice Address - Street 2:UNIT 103
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-4483
Practice Address - Country:US
Practice Address - Phone:954-993-0706
Practice Address - Fax:772-382-0672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management