Organization
EASTERN CAROLINA CASE MANAGEMENT
Active
Parent organization
EASTERN CAROLINA CASE MANAGEMENT, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN CAROLINA CASE MANAGEMENT, LLC
Authorized official
MRS. WENDY RENE KACZYNSKI (DIRECTOR)
(910) 262-7107
Entity
Organization
Contact information
Practice address
4620 CEDAR AVENUE, SUITE 118, WILMINGTON, NC 28403-4423
(910) 262-7107
Mailing address
5616 MAXWELL PL, WILMINGTON, NC 28409-2966
(910) 793-9996
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301324
—
NC
05
—
8301324B
—
NC
05
—
8301324G
—
NC
05
—
8301324H
—
NC
Enumeration date
10/05/2006
Last updated
06/18/2008
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