Organization
A DIAMOND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCENA POWELL (OWNER)
(407) 279-9954
Entity
Organization
Contact information
Practice address
1207 5TH ST NE, WINTER HAVEN, FL 33881-2555
(863) 656-5662
Mailing address
430 PEACE CT, KISSIMMEE, FL 34759-5373
(914) 227-5698
(863) 226-3931
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/22/2016
Last updated
07/11/2022
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