Willie Wallace in Jonesboro - Case Manager/care Coordinator

Willie Wallace - NPI 1992820617

Willie Wallace is a Case Manager/care Coordinator in Jonesboro, Arkansas. Willie Wallace practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Willie Wallace is 1992820617. The last update date is 2007-07-08.

Willie Wallace's current location address is 2707 Browns Ln, Jonesboro, Arkansas. You can contact this provider via phone number 8709724939 and fax number 8709724911. The mailing address for Willie Wallace is 2707 Browns Ln, Jonesboro, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Willie Wallace
Address 2707 Browns Ln, Jonesboro, Arkansas
Phone Number 8709724939
Fax Number 8709724911
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1992820617
Provider Enumeration Date 2007-03-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2707 Browns Ln
City Jonesboro
State Arkansas (AR)
Post Code 724017213
Phone Number 8709724939
Fax Number 8709724911

Provider's Primary Taxonomy Detail

Speciality Case Manager/care Coordinator
Taxonomy 171M00000X
Definition:
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe

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FAQs about Willie Wallace

What is the unique identification code assigned to Willie Wallace by the Centers for Medicare & Medicaid Services?

The Willie Wallace has been issued the NPI (National Provider Identifier) 1992820617. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Willie Wallace is located?

The Willie Wallace is situated at the following address: 2707 Browns Ln, Jonesboro, AR, 724017213.

What is the Willie Wallace's specialty and taxonomy code?

The Willie Wallace's specialty is Case Manager/care Coordinator, and the corresponding taxonomy code is 171M00000X.

When did Willie Wallace receive its 1992820617 assignment?

The Willie Wallace was assigned its 1992820617 on 2007-03-20, which is the date when this unique identifier was issued to the organization.

When was the information related to Willie Wallace most recently updated or refreshed?

The details pertaining to the Willie Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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