Organization
ACADIAN DIABETES SELF MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANYA F BELLER RN (OWNER RN)
(337) 384-5611
Entity
Organization
Contact information
Practice address
111 ADDIE DR, CROWLEY, LA 70526-7211
(337) 384-5611
(337) 234-5670
Mailing address
PO BOX 1254, BROUSSARD, LA 70518-1254
(337) 234-5656
(337) 234-5670
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
RN085391
LA
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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