Organization
DIAMONDBRICK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA NICKERSON (OWNER)
(614) 897-2638
Entity
Organization
Contact information
Practice address
861 WESTBURY LN S, COLUMBUS, OH 43228-3280
(614) 897-2638
Mailing address
1739 STRINGTOWN RD # 1029, GROVE CITY, OH 43123-9125
(614) 897-2639
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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