Provider Demographics
NPI:1932643095
Name:DILIGENT HEALTHCARE, LLC
Entity Type:Organization
Organization Name:DILIGENT HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LPN
Authorized Official - Prefix:
Authorized Official - First Name:LAKESHA
Authorized Official - Middle Name:SHANELL
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:769-204-1825
Mailing Address - Street 1:902 SUNSET CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MS
Mailing Address - Zip Code:39429-2212
Mailing Address - Country:US
Mailing Address - Phone:769-204-1825
Mailing Address - Fax:
Practice Address - Street 1:902 SUNSET CIR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MS
Practice Address - Zip Code:39429-2212
Practice Address - Country:US
Practice Address - Phone:769-204-1825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP327657251J00000X
MSP321846302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No302R00000XManaged Care OrganizationsHealth Maintenance Organization