Organization
ACE CASE MANAGE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM WALLACE (OWNER)
(803) 361-9634
Entity
Organization
Contact information
Practice address
8732 HERONS WALK, CHARLESTON, SC 29420-7445
(803) 361-9634
Mailing address
8732 HERONS WALK, CHARLESTON, SC 29420-7445
(803) 361-9634
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
8224
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8224
—
SC
Enumeration date
04/30/2014
Last updated
11/03/2015
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