# PREMIERE CASE MANAGEMENT LLC

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

## Provider details

- **NPI number:** 1508167859
- **Authorized official:** MS. MONIQUE WINFREY (CEO)
- **Authorized official phone:** (313) 263-1666

## Contact information

- **Practice address:** 3430 E JEFFERSON AVE, 644, DETROIT, MI 48207-4233
- **Practice address phone:** (313) 263-1666
- **Practice address fax:** (313) 447-2222
- **Mailing address:** 3430 E JEFFERSON AVE, 644, DETROIT, MI 48207-4233
- **Mailing address phone:** (313) 263-1666
- **Mailing address fax:** (313) 447-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2010
- **Last updated:** 11/03/2010