Organization
COMMUNITY CARE MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA HENRY LPN, CPC, CPC-I (OWNER/PRESIDENT)
(501) 813-0879
Entity
Organization
Contact information
Practice address
505 CAMBRIDGE PLACE DR, LITTLE ROCK, AR 72227-2169
(501) 813-0879
(501) 313-5355
Mailing address
505 CAMBRIDGE PLACE DR, LITTLE ROCK, AR 72227-2169
(501) 813-0879
(501) 313-5355
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
04/09/2018
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