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NPI Code Detail

MEDICARE: MEDICAL CASE MANAGEMENT & SOCIAL SERVICES, INC.

MEDICARE: MEDICAL CASE MANAGEMENT & SOCIAL SERVICES, 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
1251E00000XHome Health Agency012711TX

General Provider Information

NPI Number : 1316960024
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEDICAL CASE MANAGEMENT & SOCIAL SERVICES, INC.
Provider Business Mailing Address
First Line : 2806 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-1012
Country : US
Telephone Number : 817-293-9988
Fax Number :
Provider Business Practice Location Address
First Line : 2806 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76140-1012
Country : US
Telephone Number : 817-293-9988
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. DONALD O'CONNOR RAMSEY
Credential : CPA
Telephone Number : 817-293-9988
Provider Enumeration Date : 07/25/2006
Last Update Date : 06/21/2011

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Directions to “MEDICAL CASE MANAGEMENT & SOCIAL SERVICES, INC. ” Practice Location

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