| Organization Name: | HOSPITAL TO HOME TRANSITIONAL DIABETES CARE LIMITED LIABILITY COMPANY |
| NPI Number: | 1023358561 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLY LYNN DONNELL-JACKSON (NURSE PRACTITIONER/DIRECTOR) |
| Mailing Address: | 67 Stratton Ln Sewell |
| State: | NJ US |
| Postal Code: | 080802253 |
| Phone Number: | 8568899577 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2013 |
| NPI Last Update Date: | 02/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |