Healthcare Provider Details

I. General information

NPI: 1326116476
Provider Name (Legal Business Name): CASE MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3171 DIRECTORS ROW
MEMPHIS TN
38131-0405
US

IV. Provider business mailing address

3171 DIRECTORS ROW
MEMPHIS TN
38131-0405
US

V. Phone/Fax

Practice location:
  • Phone: 901-821-5600
  • Fax: 901-821-5864
Mailing address:
  • Phone: 901-821-5600
  • Fax: 901-821-5864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberL2140866334
License Number StateTN

VIII. Authorized Official

Name: FLORENCE HERVERY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 901-821-5835