Provider Demographics
NPI:1699704718
Name:ATTENTION DIABETICS, INC
Entity type:Organization
Organization Name:ATTENTION DIABETICS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
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:501-362-2441
Mailing Address - Street 1:329 W SEARCY ST
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-3840
Mailing Address - Country:US
Mailing Address - Phone:501-362-2441
Mailing Address - Fax:501-362-5485
Practice Address - Street 1:329 W SEARCY ST
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-3840
Practice Address - Country:US
Practice Address - Phone:501-362-2441
Practice Address - Fax:501-362-5485
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
ARMG00307332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR160663716Medicaid
AR1179430003Medicare NSC