Organization
DIAMOND LAKE HOME HEALTH CARE LLC
Active
Other names
Diamond lake home health care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ADAN S SAMANTAR (OWNER/CEO)
(480) 278-1079
Entity
Organization
Contact information
Practice address
2942 N 24TH ST SUITE 114, APT 12, PHOENIX, AZ 85016-7849
(602) 877-9355
Mailing address
2942 N 24TH ST STE 114, PHOENIX, AZ 85016-7849
(602) 877-9355
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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