Provider Demographics
NPI:1912936030
Name:ATTENTION DIABETICS, INC.
Entity Type:Organization
Organization Name:ATTENTION DIABETICS, INC.
Other - Org Name:ATTENTION MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWATZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-881-4158
Mailing Address - Street 1:3058 LEEMAN FERRY RD SW
Mailing Address - Street 2:SUITE L
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6520
Mailing Address - Country:US
Mailing Address - Phone:256-881-4158
Mailing Address - Fax:256-881-4196
Practice Address - Street 1:3058 LEEMAN FERRY RD SW
Practice Address - Street 2:SUITE L
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6520
Practice Address - Country:US
Practice Address - Phone:256-881-4158
Practice Address - Fax:256-881-4196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL279332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009709570Medicaid
AL009709570Medicaid