Organization
CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL
Active
Other names
CDDNCA, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAYLA SHA-VON JOHNSON (COMPTROLLER)
(256) 350-1458
Entity
Organization
Contact information
Practice address
1602 CHURCH ST SE, DECATUR, AL 35601-3402
(256) 350-1458
(256) 350-1485
Mailing address
PO BOX 2091, 1602 CHURCH ST SE;, DECATUR, AL 35601-3402
(256) 350-1458
(256) 350-1485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-037625
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529932620
—
AL
Enumeration date
05/08/2007
Last updated
08/01/2025
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