| Elite Case Management Agency LLC | |
|
1700 University Blvd Ste 8 Jackson MS 39204-3907 | |
| (601) 863-0258 | |
| Not Available |
| Full Name | Elite Case Management Agency LLC |
|---|---|
| Speciality | General Practice |
| Location | 1700 University Blvd Ste 8, Jackson, Mississippi |
| Authorized Official Name and Position | Latosha Mcnair (CNO) |
| Authorized Official Contact | 6018630258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Case Management Agency LLC 409 Bald Cypress Cv Terry MS 39170-6002 Ph: (601) 863-0258 | Elite Case Management Agency LLC 1700 University Blvd Ste 8 Jackson MS 39204-3907 Ph: (601) 863-0258 |
| NPI Number | 1871221549 |
|---|---|
| Provider Enumeration Date | 08/10/2022 |
| Last Update Date | 10/11/2022 |
| Certification Date | 10/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871221549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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