Diversity Health Service LLC
NPI #1164046926 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1164046926
- Entity Type
- Organization
- Organization Name
- Diversity Health Service LLC
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Jun 7, 2020
- Last Updated
- Jun 7, 2020
Practice Location
- Address
- 7900 INTERNATIONAL DR STE 300
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55425-2562
- Phone
- (612) 834-5913
Authorized Official
- Name
- MR. MOHAMED ARAB, M.ED
- Title
- CEO
- Phone
- (612) 834-5913
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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