Organization
DIANA HOME CARE 1 CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA VILMA REYES (PRESIDENT)
(305) 498-2369
Entity
Organization
Contact information
Practice address
7231 S.W. 7TH ST, MIAMI, FL 33144
(305) 498-2369
(305) 220-1017
Mailing address
7231 S.W. 7TH ST, MIAMI, FL 33144
(305) 498-2369
(305) 220-1017
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
AL10307
FL
310400000X
Assisted Living Facility
Primary
AL11201
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141928500
—
FL
Enumeration date
05/24/2007
Last updated
05/07/2014
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