Provider Demographics
NPI:1568141521
Name:DILIGENT SUPPORT SERVICES
Entity Type:Organization
Organization Name:DILIGENT SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:OKE
Authorized Official - Last Name:JESUOROBO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:301-602-1374
Mailing Address - Street 1:6196 OXON HILL RD STE 290
Mailing Address - Street 2:
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3141
Mailing Address - Country:US
Mailing Address - Phone:301-602-1374
Mailing Address - Fax:
Practice Address - Street 1:6196 OXON HILL RD STE 290
Practice Address - Street 2:
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3141
Practice Address - Country:US
Practice Address - Phone:301-602-1374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities