# DIDC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558716662
- **Authorized official:** MR. EDGAR VALENTIN JIMENEZ (ADMINSTRATOR)
- **Authorized official phone:** (702) 273-6658

## Contact information

- **Practice address:** 535 S DECATUR BLVD, LAS VEGAS, NV 89107-3910
- **Practice address phone:** (702) 562-2273
- **Practice address fax:** (702) 227-8351
- **Mailing address:** 535 S DECATUR BLVD, LAS VEGAS, NV 89107-3910
- **Mailing address phone:** (702) 562-2273
- **Mailing address fax:** (702) 227-8351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | NV20021448940 | NV | Yes |

## Other

- **Enumeration date:** 04/26/2016
- **Last updated:** 04/26/2016