Organization
CORINE'S CARE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WATOANAR FLANAGAN (PRESIDENT)
(252) 747-5705
Entity
Organization
Contact information
Practice address
369 HWY 13 S, SNOW HILL, NC 28580-8472
(252) 747-5705
(252) 747-5635
Mailing address
369 B C HWY 13 SOUTH, SNOW HILL, NC 28580-9515
(252) 747-5705
(252) 747-5635
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
8703171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3410170
—
NC
05
—
8703171
—
NC
Enumeration date
03/21/2011
Last updated
03/21/2011
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