Organization
COMMUNITY DIABETES AND NUTRITION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY TAKACS RN, BS, CDE (MEMBER AND PROGRAM COORDINATOR)
(570) 604-6677
Entity
Organization
Contact information
Practice address
200 MAIN ST, SUITE L4, BLAKELY, PA 18447-1241
(570) 604-6677
(570) 307-4220
Mailing address
200 MAIN ST, SUITE L4, BLAKELY, PA 18447-1241
(570) 604-6677
(570) 307-4220
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000285
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306930847
BLUE CROSS OF NORTHEAST PA
PA
Enumeration date
05/01/2015
Last updated
05/01/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us