# ACADIAN DIABETES SELF MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841329729
- **Authorized official:** MRS. TANYA F BELLER RN (OWNER RN)
- **Authorized official phone:** (337) 384-5611

## Contact information

- **Practice address:** 111 ADDIE DR, CROWLEY, LA 70526-7211
- **Practice address phone:** (337) 384-5611
- **Practice address fax:** (337) 234-5670
- **Mailing address:** PO BOX 1254, BROUSSARD, LA 70518-1254
- **Mailing address phone:** (337) 234-5656
- **Mailing address fax:** (337) 234-5670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | RN085391 | LA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020