Organization
DIAMOND ENTERPRIZE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LOUISE MARIE CRAYTON (PRESIDENT)
(847) 243-7916
Entity
Organization
Contact information
Practice address
124 N. WATER ST, SUITE 208, ROCKFORD, IL 61107
(815) 977-3351
Mailing address
124 N. WATER ST, SUITE 208, ROCKFORD, IL 61107
(847) 243-7916
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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