Provider Demographics
NPI:1629438049
Name:DIAMOND CARE LLC
Entity Type:Organization
Organization Name:DIAMOND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SOKUNTHEARI
Authorized Official - Middle Name:
Authorized Official - Last Name:HANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-210-2182
Mailing Address - Street 1:18291 CATTAIL CT
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55346-2155
Mailing Address - Country:US
Mailing Address - Phone:952-934-1031
Mailing Address - Fax:952-934-1031
Practice Address - Street 1:18291 CATTAIL CT
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55346-2155
Practice Address - Country:US
Practice Address - Phone:952-934-1031
Practice Address - Fax:952-934-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care