Provider Demographics
NPI:1811520034
Name:MCKNIGHT, DIAMOND (CNA, HHA)
Entity type:Individual
Prefix:
First Name:DIAMOND
Middle Name:
Last Name:MCKNIGHT
Suffix:
Gender:F
Credentials:CNA, HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 NW 3RD AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-1838
Mailing Address - Country:US
Mailing Address - Phone:305-908-1580
Mailing Address - Fax:305-925-9903
Practice Address - Street 1:1490 NW 3RD AVE STE 106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1838
Practice Address - Country:US
Practice Address - Phone:305-908-1580
Practice Address - Fax:305-925-9903
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion