Organization
DIANA'S HOMECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA DUNCAN (EXECUTIVE DIRECTOR/CEO)
(704) 456-8389
Entity
Organization
Contact information
Practice address
1202 DONCASTLE CT, CONCORD, NC 28025-2899
(704) 456-8389
(704) 256-9957
Mailing address
402 HILLCREST DR, HUNTERSVILLE, NC 28078-7856
(704) 456-8389
(704) 256-9957
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7806485 MPN
—
NC
Enumeration date
06/13/2013
Last updated
06/13/2013
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