Provider Demographics
NPI:1376840884
Name:DIVERSE FAMILY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:DIVERSE FAMILY SOLUTIONS, INC.
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:
Authorized Official - Phone:954-993-0706
Mailing Address - Street 1:7667 TROPICANA ST
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33023-2550
Mailing Address - Country:US
Mailing Address - Phone:954-993-0706
Mailing Address - Fax:954-374-6941
Practice Address - Street 1:7667 TROPICANA ST
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33023-2550
Practice Address - Country:US
Practice Address - Phone:954-993-0706
Practice Address - Fax:954-374-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility