Organization
CASCADE HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GINA MARIE NELSON MD (PRESIDENT/OWNER)
(205) 841-6737
Entity
Organization
Contact information
Practice address
1311 DECATUR HWY, FULTONDALE, AL 35068-1737
(205) 841-6737
Mailing address
1311 DECATUR HWY, FULTONDALE, AL 35068-1737
(205) 841-6737
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
205732829
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548473630
PROVIDER NPI
AL
Enumeration date
08/10/2007
Last updated
06/18/2008
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