NPI | 1891246195 |
---|---|
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 | 2016-10-21 |
Last Update Date | 2019-04-18 |