Diamond Grove Center

LBN: Diamond Grove Center
Diamond Grove Center is an health care organization with primary practice located at 2311 Highway 15 S , Louisville MS 39339-7071. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Diamond Grove Center can be contacted via phone (662) 779-0119, or through Filton, Steve via phone (610) 768-3300.

Contact Information

Primary practice address
2311 Highway 15 S Louisville MS 39339-7071
Phone: (662) 779-0119
Fax: (662) 779-0126
Website:
Map and Directions
Authorized official contact:
Name: Filton, Steve
Phone: (610) 768-3300

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 817 Mississippi

Profile Details

NPI number 1659404572
LBN Legal business name Diamond Grove Center
DBA Doing business as
Authorized official Filton, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated May 11th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659404572 NPPES
Mississippi MEDICAID 00220801

Popular Providers