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Organization

CONTINUITY CASE MANAGEMENT SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SUPRENIA THOMAS (DIRECTOR OF PROFESSIONAL SERVICES)
(866) 550-6629
Entity
Organization

Contact information

Practice address
24801 5 MILE RD, 12, REDFORD, MI 48239-3655
(866) 550-6629
(248) 607-6757
Mailing address
20615 FENKELL ST, 231052, DETROIT, MI 48223-3778
(866) 550-6629
(248) 607-6756

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251E00000X
Home Health Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163WHO200X
HOME CARE
MI
Enumeration date
02/12/2017
Last updated
02/12/2017
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