Diamond Edgewater LLC
Organization Active NPI Assisted Living Facility · Edgewater, FL
NPI 1063265189 · NPPES record last updated Apr 9, 2024
Key facts
- NPI
- 1063265189
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- DIAMOND EDGEWATER LLC
- Practice address
- 2010 S Ridgewood Ave
Edgewater, FL 32141-4253 - Phone
- (386) 576-7034
- NPI assigned
- Apr 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Daniel Stern
- Title
- Owner
- Phone
- (516) 526-9071
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Yes |
Addresses
Primary practice location
2010 S Ridgewood Ave
Edgewater, FL 32141-4253
Mailing address
1127 Harris Ave
Far Rockaway, NY 11691-4816
Other providers in Edgewater, FL
- Angela D Cruse
- Mary E. Curtiss
- Carmen Mele Dailey
- David S. Chess, P.a.
- Grace Ellen Davis
- Jolene Julia Donhauser
- Austin Adams Donnelly
- Dr D J Belcher P a
- Scott A Drummond Jr.
- Shawnee Michelle Dymond
All providers in Edgewater, FL · Assisted Living Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.