Diamond Enterprize LLC

NPI #1912588468 in Rockford, Illinois

Provider Information

NPI Number: 1912588468
Entity Type: Organization
Organization Name: Diamond Enterprize LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Apr 16, 2021
Last Updated: Apr 16, 2021

Practice Location

Address: 124 N WATER ST STE 208
City: Rockford
State: Illinois
ZIP Code: 61107-3959
Phone: (815) 977-3351

Authorized Official

Name: LOUISE MARIE CRAYTON, N/A
Title: PRESIDENT
Phone: (847) 243-7916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X
Home Health Aide	374U00000X
Respite Care	385H00000X
In Home Supportive Care	253Z00000X	Primary

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