Organization
DIANA ADULT HOME CARE
Active
Other names
Diana Adult Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANIA THOMPSON (PROVIDER)
(954) 316-9313
Entity
Organization
Contact information
Practice address
7464 NW 16TH ST, PLANTATION, FL 33313-5112
(954) 316-9313
Mailing address
7464 NW 16TH ST, PLANTATION, FL 33313-5112
(954) 316-9313
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6905810
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142359200
—
FL
Enumeration date
09/23/2010
Last updated
09/23/2010
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