Organization
COMMONWEALTH CASE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARRIE SHANNON MCCRACKEN (OWNER/EXECUTIVE DIRECTOR)
(606) 271-3555
Entity
Organization
Contact information
Practice address
199 SILVERDUST CIR, MONTICELLO, KY 42633-3821
(606) 340-8108
(606) 679-1234
Mailing address
199 SILVERDUST CIR, MONTICELLO, KY 42633-3821
(606) 340-8108
(606) 679-1234
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
KY
Other
Enumeration date
10/04/2011
Last updated
11/22/2016
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