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NPI Code Detail

MEDICARE: CHANGE IS POSSIBLE

MEDICARE: CHANGE IS POSSIBLE
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
1251B00000XCase Management Agency6301008406MI

General Provider Information

NPI Number : 1447552492
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANGE IS POSSIBLE
Provider Business Mailing Address
First Line : 2122 15 MILE RD
Second Line : SUITE B
City : STERLING HEIGHTS
State : MI
Zip : 48310-4853
Country : US
Telephone Number : 586-264-3692
Fax Number : 586-939-5953
Provider Business Practice Location Address
First Line : 2122 15 MILE RD
Second Line : SUITE B
City : STERLING HEIGHTS
State : MI
Zip : 48310-4853
Country : US
Telephone Number : 586-264-3692
Fax Number : 586-939-5953
Authorized Official
Title or Position : OWNER
Name : MRS. CYNTHIA LEE ZITNY
Credential : MSW
Telephone Number : 586-202-3695
Provider Enumeration Date : 11/24/2010
Last Update Date : 11/24/2010

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Directions to “CHANGE IS POSSIBLE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.