MEDICARE: TRANSITIONS CASE MANAGEMENT EDUCATION INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1245849827
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONS CASE MANAGEMENT EDUCATION INC.

Provider Business Mailing Address
First Line	:	PO BOX 258
Second Line	:
City	:	NOVI
State	:	MI
Zip	:	48376-0258
Country	:	US
Telephone Number	:	248-914-0815
Fax Number	:

Provider Business Practice Location Address
First Line	:	26375 HALSTED RD APT 122
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-3762
Country	:	US
Telephone Number	:	248-914-0815
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACQUELYN PERKINS
Credential	:
Telephone Number	:	248-914-0815

Provider Enumeration Date	:	07/29/2020
Last Update Date	:	07/29/2020

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