Provider Demographics
NPI:1417711870
Name:DIAMOND SWEETNESS
Entity Type:Organization
Organization Name:DIAMOND SWEETNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE CHEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DOANTHAN
Authorized Official - Middle Name:JAVONTE'
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-353-1486
Mailing Address - Street 1:PO BOX 85103
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-0103
Mailing Address - Country:US
Mailing Address - Phone:734-656-8109
Mailing Address - Fax:
Practice Address - Street 1:8511 HONEYTREE BLVD APT 246
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-4175
Practice Address - Country:US
Practice Address - Phone:734-656-8109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals
No174200000XOther Service ProvidersMeals
No253Z00000XAgenciesIn Home Supportive Care