| NPI | 1265208276 |
|---|---|
| Doing Business As | DIAMOND LAKE HOME HEALTH CARE LLC |
| Entity Type | Organization |
| Authorized Contact | ADAN S SAMANTAR Owner/CEO 480-278-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |