Provider Demographics
NPI:1982928032
Name:DIAMOND HOME HEALTH CARE AND STAFFING
Entity Type:Organization
Organization Name:DIAMOND HOME HEALTH CARE AND STAFFING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:CHIDI
Authorized Official - Last Name:OKORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-376-6388
Mailing Address - Street 1:911 SHINING WIRE WAY
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5736
Mailing Address - Country:US
Mailing Address - Phone:919-376-6388
Mailing Address - Fax:
Practice Address - Street 1:911 SHINING WIRE WAY
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-5736
Practice Address - Country:US
Practice Address - Phone:919-376-6388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4046251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health