Provider Demographics
NPI:1538839865
Name:DIVERSE ABILITY INCORPORATED
Entity type:Organization
Organization Name:DIVERSE ABILITY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VISIONARY FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-425-5135
Mailing Address - Street 1:PO BOX 46316
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85063-6316
Mailing Address - Country:US
Mailing Address - Phone:602-425-5135
Mailing Address - Fax:602-333-7605
Practice Address - Street 1:7701 W PIERSON ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85033-1129
Practice Address - Country:US
Practice Address - Phone:602-425-5135
Practice Address - Fax:602-333-7605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable