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Organization

INDEPENDENT CASE MANAGEMENT, INC.

Active
Find providers by NPI
Organization

INDEPENDENT CASE MANAGEMENT, INC.

Active
Other names
ICM
Organization subpart
No

Provider details

NPI number
Authorized official
JOSH WILSON PH.D. (CEO)
(501) 228-0063
Entity
Organization

Contact information

Practice address
1525 MERRILL DRIVE, LITTLE ROCK, AR 72211-1821
(501) 228-0063
(501) 228-0070
Mailing address
1525 MERRILL DR, LITTLE ROCK, AR 72211-1821
(501) 228-0063
(501) 228-0070

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
252Y00000X
Early Intervention Provider Agency
253Z00000X
In Home Supportive Care Agency
261QA0600X
Adult Day Care Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125831774
AR
05
129558732
AR
05
129701767
AR
05
130082782
AR
01
132608786
DDS
AR
05
134456775
AR
05
193204724
AR
05
196924706
AR
Enumeration date
02/20/2007
Last updated
07/28/2026
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