Provider Demographics
NPI:1346754017
Name:DIAMOND'S HEALTHCARE STAFFING LLC
Entity Type:Organization
Organization Name:DIAMOND'S HEALTHCARE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KANDYSHI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ELSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-824-5575
Mailing Address - Street 1:PO BOX 361685
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30036-1685
Mailing Address - Country:US
Mailing Address - Phone:678-824-5575
Mailing Address - Fax:
Practice Address - Street 1:17106 TURNBERRY PL
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30038-6117
Practice Address - Country:US
Practice Address - Phone:678-824-5575
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health