Organization
CUSTOM CASE MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAKOTA RADFORD BS (PRESIDENT)
(606) 676-0954
Entity
Organization
Contact information
Practice address
237 DAKOTA DR, SOMERSET, KY 42501-2425
(606) 676-0954
Mailing address
237 DAKOTA DR, SOMERSET, KY 42501-2425
(606) 676-0954
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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