Organization
SOUTHERN ALABAMA REGIONAL COUNCIL ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA EIDSON (EXECUTIVE DIRECTOR)
(334) 793-6843
Entity
Organization
Contact information
Practice address
1075 S BRANNON STAND RD, DOTHAN, AL 36305-7359
(334) 793-6843
Mailing address
1075 S BRANNON STAND RD, DOTHAN, AL 36305-7359
(334) 793-6843
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
1-054943
AL
251B00000X
Case Management Agency
—
—
Other
Enumeration date
10/07/2016
Last updated
04/18/2019
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