NPI 1003852534
Custom Case Management
Practice location
- Address
- 112 S Spruce St, Winston Salem, NC 27101-3767
- Phone
- (336) 480-0023
- Fax
- (336) 768-7229
Authorised official
- Name
- Marianne Rizzolo
- Title
- Director
- Phone
- (336) 480-0023
Registered specialties
Case Management Agency
Primary
Registry record
- NPI
- 1003852534
- Entity type
- Organization
- NPI issued
- 22 Jun 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.