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Organization

CASE MANAGEMENT CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BARBARA I. HENDRIX MASTER OF ARTS (CEO)
(336) 274-9862
Entity
Organization

Contact information

Practice address
4114 ENCHANTED LN, GREENSBORO, NC 27406-6904
(336) 274-9862
Mailing address
PO BOX 16851, 4114 ENCHANTED LANE, GREENSBORO, NC 27416-0851
(336) 691-0652
(336) 691-5750

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
8301074
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8301074
PROVIDER ID
NC
Enumeration date
06/20/2007
Last updated
08/22/2020
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