Organization
PROFESSIONAL CARE CASE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MICHELLE COLLINS RN (DIRECTOR)
(304) 635-7740
Entity
Organization
Contact information
Practice address
19 MAIN ST, ELKINS, WV 26241-3125
(304) 635-7740
(304) 635-7742
Mailing address
19 MAIN ST, ELKINS, WV 26241-3125
(304) 635-7740
(304) 635-7742
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154709095
—
WV
05
—
15787179149
—
WV
05
—
1700409067
—
WV
Enumeration date
07/17/2021
Last updated
07/17/2021
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