CCN: 045144 NPI: 1538674817 Organization

DIAMOND COVE, LLC

1203 S BEND DR
HORSESHOE BEND, AR 725123727

Contact Information

Phone 8706705134
Enumeration Date 2017-12-07
Last Updated 2017-12-07

Taxonomies

Code: 314000000X (Primary) License State: AR License: 849

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 04

providerType 38

vbpAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 04

providerType 38

operatingCostToChargeRatio 0.001

specialPaymentIndicator

carrierCode 07102

localityCode 13