Organization · NPI-2
Diamond Care LLC
In Home Supportive Care · Eden Prairie, MN
NPI number1629438049
StatusActive
Last updated in NPPESFeb 26, 2016
Details
- NPI
- 1629438049
- Entity type
- Organization (NPI-2)
- Legal business name
- Diamond Care LLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2016
- Last updated
- Feb 26, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
18291 Cattail CtEden Prairie, MN 55346-2155
Phone 952-934-1031 · Fax 952-934-1031
Mailing address
18291 Cattail CtEden Prairie, MN 55346-2155
Phone 952-934-1031 · Fax 952-934-1031
Authorized official
Sokuntheari Hang
Administrator
9522102182
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