Provider Demographics
NPI:1114797172
Name:DIAMAC CARE SERVICES
Entity Type:Organization
Organization Name:DIAMAC CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VILENA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-695-0241
Mailing Address - Street 1:2329 WOODRIDGE WAY APT 1B
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1465
Mailing Address - Country:US
Mailing Address - Phone:734-695-0241
Mailing Address - Fax:
Practice Address - Street 1:2329 WOODRIDGE WAY APT 1B
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1465
Practice Address - Country:US
Practice Address - Phone:734-695-0241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Single Specialty