Provider Demographics
NPI:1013315472
Name:DIAMOND ADULT DAY CARE
Entity type:Organization
Organization Name:DIAMOND ADULT DAY CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:P
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-385-6779
Mailing Address - Street 1:225 DEVONSHIRE RD
Mailing Address - Street 2:P O BOX 12132 LYNCHBURG VA 24506
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-2301
Mailing Address - Country:US
Mailing Address - Phone:434-385-6779
Mailing Address - Fax:
Practice Address - Street 1:225 DEVONSHIRE RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-2301
Practice Address - Country:US
Practice Address - Phone:434-385-6779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No347C00000XTransportation ServicesPrivate Vehicle
No385H00000XRespite Care FacilityRespite Care
No251E00000XAgenciesHome Health