# EXECUTIVE CASE MANAGEMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164093126
- **Authorized official:** KAREN FERGUSON TAYLOR RN BSN (OWNER)
- **Authorized official phone:** (248) 408-0632

## Contact information

- **Practice address:** 2203 SHEARWATER CIR, WALLED LAKE, MI 48390-4254
- **Practice address phone:** (248) 408-0632
- **Mailing address:** PO BOX 785, UNION LAKE, MI 48387-0785
- **Mailing address phone:** (248) 408-0632

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2021
- **Last updated:** 07/09/2021