Provider Demographics
NPI:1205187721
Name:DIAMOND MEDICAL AND HEALTH SERVICES INC
Entity Type:Organization
Organization Name:DIAMOND MEDICAL AND HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUGO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:443-722-8948
Mailing Address - Street 1:7 CEDARHOUSE CT
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3503
Mailing Address - Country:US
Mailing Address - Phone:443-722-8948
Mailing Address - Fax:
Practice Address - Street 1:7 CEDARHOUSE CT
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3503
Practice Address - Country:US
Practice Address - Phone:443-722-8948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion