# DIAMOND LAKE HOME HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diamond lake home health care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265208276
- **Authorized official:** ADAN S SAMANTAR (OWNER/CEO)
- **Authorized official phone:** (480) 278-1079

## Contact information

- **Practice address:** 2942 N 24TH ST SUITE 114, APT 12, PHOENIX, AZ 85016-7849
- **Practice address phone:** (602) 877-9355
- **Mailing address:** 2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
- **Mailing address phone:** (602) 877-9355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/30/2023
- **Last updated:** 11/30/2023