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Organization
DIAMOND HOME CARE AGENCY LLC
Active
Organization
DIAMOND HOME CARE AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRNA MEDINA (ADMINISTRATOR)
(215) 651-2413
Entity
Organization
Contact information
Practice address
12900 MEDFORD RD, PHILADELPHIA, PA 19154-2013
(215) 651-2413
Mailing address
12900 MEDFORD RD, PHILADELPHIA, PA 19154-2013
(215) 651-2413
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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