Ty William De Stafford in Gautier - Case Manager/care Coordinator
Ty William De Stafford - NPI 1194852426
Ty William De Stafford is a Case Manager/care Coordinator in Gautier, Mississippi. Ty William De Stafford practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Ty William De Stafford is 1194852426. The last update date is 2007-07-08.
Ty William De Stafford's current location address is 3407 Shamrock Ct, Gautier, Mississippi. You can contact this provider via phone number 2284970690. The mailing address for Ty William De Stafford is 3407 Shamrock Ct, Gautier, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ty William De Stafford |
|---|---|
| Address | 3407 Shamrock Ct, Gautier, Mississippi |
| Phone Number | 2284970690 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | BA |
NPI Number Detail
| NPI Number | 1194852426 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3407 Shamrock Ct |
|---|---|
| City | Gautier |
| State | Mississippi (MS) |
| Post Code | 39553 |
| Phone Number | 2284970690 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Case Manager/care Coordinator |
|---|---|
| Taxonomy | 171M00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 18214 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ty William De Stafford by the Centers for Medicare & Medicaid Services (CMS)?
The Ty William De Stafford has been assigned the NPI (National Provider Identifier) 1194852426. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Ty William De Stafford located?
The Ty William De Stafford is located at 3407 Shamrock Ct, Gautier, MS 39553.
What is Ty William De Stafford's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ty William De Stafford is Case Manager/care Coordinator, and the taxonomy code that classifies this field of practice is 171M00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194852426 to Ty William De Stafford?
The Centers for Medicare & Medicaid Services originally issued the 1194852426 to Ty William De Stafford on 2007-02-27.
As of what date were the Ty William De Stafford's details last updated?
The information pertaining to the Ty William De Stafford, including its address, specialty, and other details, was most recently updated on 2007-07-08.