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Organization
DIAMOND ENTERPRIZE LLC
Active
Organization
DIAMOND ENTERPRIZE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISE MARIE CRAYTON N/A (PRESIDENT)
(847) 243-7916
Entity
Organization
Contact information
Practice address
124 N WATER ST STE 208, ROCKFORD, IL 61107-3959
(815) 977-3351
Mailing address
124 N WATER ST STE 208, ROCKFORD, IL 61107-3959
(815) 977-3351
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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