Organization
COORDINATED CARE 1, INC
Active
Other names
Coordinated Care 1, INC, Coordinated Care 1
Organization subpart
No
Provider details
NPI number
Authorized official
GIGI J (MEMBER)
(248) 443-8044
Entity
Organization
Contact information
Practice address
2328 E 7 MILE RD, DETROIT, MI 48234-1304
(248) 443-8044
Mailing address
PO BOX 99705, TROY, MI 48099-9705
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05438U
PRIVATE PAY
MI
Enumeration date
03/02/2018
Last updated
12/14/2020
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