CENTERS FOR DEVELOPMENTALLY DISABLED NORTH CENTRAL AL NPI 1740493436

NPI Information

CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL is a family nurse practitioner in Decatur, AL. CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL NPI is 1740493436. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cddnca, Inc.

The provider's business location address is:

1602 CHURCH ST SE
DECATUR, AL
ZIP 35601-402
Phone: (256) 350-1458
Fax: (256) 350-1485

The provider's authorized official is Shayla Sha-von Johnson .
The authorized official title is Comptroller and has the following contact phone number (256) 350-1458.

The CLIA number assigned to this NPI record is 01D1103905 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 11/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.