Homestead Diversity LLC
NPI #1114619871 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1114619871
- Entity Type
- Organization
- Organization Name
- Homestead Diversity LLC
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- May 22, 2023
- Last Updated
- May 22, 2023
Practice Location
- Address
- 3408 E 125TH ST
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-3410
- Phone
- (515) 230-8902
Authorized Official
- Name
- COURTNY SQUIBB
- Title
- COO
- Phone
- (515) 230-8902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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