Celestial Diligent Solutions, LLC
Clinic/Center, Developmental Disabilities in Ruskin, FL. Organization (NPI-2).
NPI number1710400627
StatusActive
Last updated in NPPESNov 5, 2022
Details
- NPI
- 1710400627
- Entity type
- Organization (NPI-2)
- Legal business name
- Celestial Diligent Solutions, LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2017
- Certification date
- Nov 5, 2022
- Last updated
- Nov 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – | |
| 372600000X | Adult Companion | – | – |
Practice location
2212 Colville Chase DrRuskin, FL 33570-6304
Phone 941-705-8118
Mailing address
2212 Colville Chase DrRuskin, FL 33570-6304
Phone 941-705-8118
Authorized official
Ralph Douglas
Administrator
9417058118
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