Individual
DIAMOND RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1880 LOWELL AVE, LIMA, OH 45805-3126
(567) 825-6899
Mailing address
1880 LOWELL AVE, LIMA, OH 45805-3126
(567) 825-6899
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/29/2026
Last updated
02/09/2026
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