Organization
ELITE CASE MANAGEMENT AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOSHA MCNAIR RN (CNO)
(601) 863-0258
Entity
Organization
Contact information
Practice address
1700 UNIVERSITY BLVD STE 8, JACKSON, MS 39204-3907
(601) 863-0258
Mailing address
409 BALD CYPRESS CV, TERRY, MS 39170-6002
(601) 863-0258
(601) 586-5693
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
10/11/2022
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