| NPI | 1487104998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA EIDSON Executive Director 334-793-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WD0400X Registered Nurse, Diabetes Educator (Licence: AL 1-054943) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2019-04-18 |