Provider Demographics
NPI:1376916882
Name:DIANA'S HOMECARE, INC
Entity Type:Organization
Organization Name:DIANA'S HOMECARE, INC
Other - Org Name:DHI/UISAC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-456-8389
Mailing Address - Street 1:1817 CENTRAL AVE RM 208
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-5109
Mailing Address - Country:US
Mailing Address - Phone:704-456-8389
Mailing Address - Fax:704-256-9957
Practice Address - Street 1:7400 CITY VIEW DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-6403
Practice Address - Country:US
Practice Address - Phone:704-456-8389
Practice Address - Fax:704-256-9957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health