Organization
SUPERIOR INDEPEDENT CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE ANN LINVILLE (PRGRAM DIRECTOR/OWNER)
(606) 676-0186
Entity
Organization
Contact information
Practice address
286 BOGLE ST, SUITE 6, SOMERSET, KY 42503-2898
(606) 676-0186
(606) 676-0670
Mailing address
286 BOGLE ST, SUITE 6, SOMERSET, KY 42503-2898
(606) 676-0186
(606) 676-0670
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
0807848
KY
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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