Organization
DIAMOND AND PEARLS AFFILIATES L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KENDRA CELESTE CUNNINGHAM LPN (CEO/OWNER)
(678) 887-8706
Entity
Organization
Contact information
Practice address
1243 PINE ST, AUGUSTA, GA 30901-3334
(678) 887-8706
Mailing address
1243 PINE ST, AUGUSTA, GA 30901-3334
(678) 887-8706
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QA0006X
Ambulatory Fertility Facility
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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