Organization
DIAMOND AGE CENTER, LLC
Active
Other names
Diamond Age Center
Organization subpart
No
Provider details
NPI number
Authorized official
FARHIYO EGAL (CEO)
(614) 407-5030
Entity
Organization
Contact information
Practice address
4889 SINCLAIR RD STE 101, COLUMBUS, OH 43229-5433
(614) 859-2507
Mailing address
2403 ASHPOINT ST, COLUMBUS, OH 43219-6202
(614) 218-3630
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0478398
—
OH
Enumeration date
01/07/2021
Last updated
05/10/2022
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