Organization
DIAMOND HOPE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PASCAL MUMBAH (CEO)
(856) 617-3167
Entity
Organization
Contact information
Practice address
101 E GIBBSBORO RD APT 1601, LINDENWOLD, NJ 08021-1923
(856) 617-3167
Mailing address
101 E GIBBSBORO RD APT 1601, LINDENWOLD, NJ 08021-1923
(856) 617-3167
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450756228
—
NJ
Enumeration date
01/19/2022
Last updated
01/19/2022
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