# ELYSIAN FIELDS CASE MANAGEMENT INC

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

## Provider details

- **NPI number:** 1356564504
- **Authorized official:** MR. TIMOTHY T WASHBURN B.A. (OWNER DIRECTOR)
- **Authorized official phone:** (765) 644-4184

## Contact information

- **Practice address:** 131 W 9TH ST, ANDERSON, IN 46016-1412
- **Practice address phone:** (765) 642-0975
- **Practice address fax:** (765) 642-0975
- **Mailing address:** 131 W 9TH ST, ANDERSON, IN 46016-1412
- **Mailing address phone:** (765) 642-0975
- **Mailing address fax:** (765) 642-0975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2007
- **Last updated:** 08/22/2020