# MATERNITY SERVICES OF DISTRICT 11, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Small Wonders Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861579336
- **Authorized official:** MR. SAM A. PRICE JR. CFO (VP FINANCE)
- **Authorized official phone:** (334) 528-1313

## Contact information

- **Practice address:** 1365 GATEWOOD DR, SUITE 525, AUBURN, AL 36830-2834
- **Practice address phone:** (334) 528-6832
- **Practice address fax:** (334) 826-0238
- **Mailing address:** PO BOX 189, AUBURN, AL 36831-0189
- **Mailing address phone:** (334) 528-6830
- **Mailing address fax:** (334) 826-0238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 02/01/2008