Organization
CELESTIAL DILIGENT SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH DOUGLAS (ADMINISTRATOR)
(941) 705-8118
Entity
Organization
Contact information
Practice address
2212 COLVILLE CHASE DR, RUSKIN, FL 33570-6304
(941) 705-8118
Mailing address
2212 COLVILLE CHASE DR, RUSKIN, FL 33570-6304
(941) 705-8118
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
372600000X
Adult Companion
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710400627
—
FL
Enumeration date
07/23/2017
Last updated
11/05/2022
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