Organization
CUSTOM CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIANNE RIZZOLO (DIRECTOR)
(336) 480-0023
Entity
Organization
Contact information
Practice address
112 S SPRUCE ST, WINSTON SALEM, NC 27101-3767
(336) 480-0023
(336) 768-7229
Mailing address
112 S SPRUCE ST, WINSTON SALEM, NC 27101-3767
(336) 480-0023
(336) 768-7229
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
2007
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300346
—
NC
05
—
8300346B
—
NC
05
—
8300346G
—
NC
05
—
8300346J
—
NC
Enumeration date
06/22/2006
Last updated
08/22/2020
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