| Organization Name: | DIAMONDALE NURSING CARE CENTER, LLC |
| NPI Number: | 1073663498 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD ANTHONY SCHERRER (OWNER) |
| Mailing Address: | 4000 N Michigan Rd Dimondale |
| State: | MI US |
| Postal Code: | 488219744 |
| Phone Number: | 5176466258 |
| Fax Number: | 5176460977 |
| NPI Enumeration Date: | 01/10/2007 |
| NPI Last Update Date: | 09/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | 234060 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |