Provider Demographics
NPI:1659097053
Name:DILIGENT CARE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:DILIGENT CARE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SEDOFIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEDZAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-901-0191
Mailing Address - Street 1:923 OLD MILL CT
Mailing Address - Street 2:
Mailing Address - City:RAYMORE
Mailing Address - State:MO
Mailing Address - Zip Code:64083-8592
Mailing Address - Country:US
Mailing Address - Phone:281-901-0191
Mailing Address - Fax:240-540-6169
Practice Address - Street 1:923 OLD MILL CT
Practice Address - Street 2:
Practice Address - City:RAYMORE
Practice Address - State:MO
Practice Address - Zip Code:64083-8592
Practice Address - Country:US
Practice Address - Phone:281-901-0191
Practice Address - Fax:240-540-6169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health