Kenya Shantrial Black in Russellville - Case Manager/care Coordinator

Kenya Shantrial Black - NPI 1477680734

Kenya Shantrial Black is a Case Manager/care Coordinator in Russellville, Arkansas. Kenya Shantrial Black practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Kenya Shantrial Black is 1477680734. The last update date is 2007-07-08.

Kenya Shantrial Black's current location address is 110 Skyline Drive, Russellville, Arkansas. You can contact this provider via phone number 4799675570 and fax number 4798905364. The mailing address for Kenya Shantrial Black is 110 Skyline Drive, Russellville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenya Shantrial Black
Address 110 Skyline Drive, Russellville, Arkansas
Phone Number 4799675570
Fax Number 4798905364
Sole Proprietor N
Credentials CASE MANAG

NPI Number Detail

NPI Number 1477680734
Provider Enumeration Date 2007-02-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 110 Skyline Drive
City Russellville
State Arkansas (AR)
Post Code 72801
Phone Number 4799675570
Fax Number 4798905364

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 Kenya Shantrial Black

What is the Kenya Shantrial Black's unique identification number?

The Kenya Shantrial Black has been assigned the NPI (National Provider Identifier) Number 1477680734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Kenya Shantrial Black is geographically located?

The Kenya Shantrial Black is physically situated at the following location: 110 Skyline Drive, Russellville, AR, 72801.

What is the Kenya Shantrial Black's specialty and taxonomy code?

The Kenya Shantrial Black's specialty is Case Manager/care Coordinator, and the corresponding taxonomy code is 171M00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1477680734 to Kenya Shantrial Black?

The Centers for Medicare & Medicaid Services assigned the 1477680734 to Kenya Shantrial Black on 2007-02-27.

When was the information regarding Kenya Shantrial Black, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kenya Shantrial Black, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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