# CARE RESOURCE TEAM

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

## Provider details

- **NPI number:** 1740751346
- **Authorized official:** JERRI D MEDVED RN (OWNER)
- **Authorized official phone:** (248) 421-7633

## Contact information

- **Practice address:** 5758 COOLEY LAKE RD, WATERFORD, MI 48327-3073
- **Practice address phone:** (248) 421-7633
- **Mailing address:** 1327 SHERWOOD FOREST CT, WATERFORD, MI 48327-1677
- **Mailing address phone:** (248) 421-7633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | — | NULL | Yes |
| 163WC1500X | Community Health Registered Nurse | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 305R00000X | Preferred Provider Organization | — | NULL | — |

## Other

- **Enumeration date:** 12/08/2018
- **Last updated:** 01/15/2019