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Executive Case Management LLC

Case Management in Walled Lake, MI. Organization (NPI-2).

NPI number1164093126
StatusActive
Last updated in NPPESJul 9, 2021

Details

NPI
1164093126
Entity type
Organization (NPI-2)
Legal business name
Executive Case Management LLC
Organization subpart
No
Enumeration date
Jul 9, 2021
Certification date
Jul 9, 2021
Last updated
Jul 9, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes

Practice location

2203 Shearwater Cir
Walled Lake, MI 48390-4254

Phone 248-408-0632

Mailing address

Po Box 785
Union Lake, MI 48387-0785

Phone 248-408-0632

Authorized official

Karen Ferguson Taylor
Owner
2484080632

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