Provider Demographics
NPI:1013218924
Name:DIMI NURSING INC
Entity Type:Organization
Organization Name:DIMI NURSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RICCA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-278-2784
Mailing Address - Street 1:1708 CORPORATE DRIVE
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-6662
Mailing Address - Country:US
Mailing Address - Phone:561-278-2784
Mailing Address - Fax:561-278-2728
Practice Address - Street 1:1708 CORPORATE DRIVE
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6662
Practice Address - Country:US
Practice Address - Phone:561-278-2784
Practice Address - Fax:561-278-2728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3011025251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health