Provider Demographics
NPI:1366166878
Name:DIAMOND HEALTH NETWORK AGENCY LLC
Entity type:Organization
Organization Name:DIAMOND HEALTH NETWORK AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-299-8690
Mailing Address - Street 1:3478 BUSKIRK AVE STE 1000
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4378
Mailing Address - Country:US
Mailing Address - Phone:925-400-7782
Mailing Address - Fax:
Practice Address - Street 1:3478 BUSKIRK AVE STE 1000
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4378
Practice Address - Country:US
Practice Address - Phone:925-400-7782
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care