| NPI | 1265568596 |
|---|---|
| Former Legal Business Name | DIA-TECH SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | LIZZSET GORDON Owner 225-266-6812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2024-02-08 |