Organization
DAVID KNIOLA CRNP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KNIOLA CRNP (PRESIDENT/OWNER)
(256) 375-9127
Entity
Organization
Contact information
Practice address
825 WOODS FERRY RD, LINCOLN, AL 35096-5874
(256) 375-9127
(615) 348-0109
Mailing address
825 WOODS FERRY RD, LINCOLN, AL 35096-5874
(256) 375-9127
(615) 348-0109
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1-068065
AL
313M00000X
Nursing Facility/Intermediate Care Facility
1-068065
AL
314000000X
Skilled Nursing Facility
Primary
1-068065
AL
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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