Organization
DIA-TECH SERVICES LLC
Active
Other names
Dia-Tech Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LIZZSET GORDON (OWNER)
(225) 266-6812
Entity
Organization
Contact information
Practice address
3923 WINNEBAGO ST, BATON ROUGE, LA 70805-5958
(225) 266-6812
Mailing address
3923 WINNEBAGO ST, BATON ROUGE, LA 70805-5958
(225) 266-6812
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223948168
LACARE
LA
01
—
H7520
BLUECROSS/BLUESHIELD OF LOUISIANA
LA
Enumeration date
02/23/2007
Last updated
02/08/2024
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