NPI 1164093126

Executive Case Management LLC

Organisation Case Management Agency Walled Lake, MI

Practice location

Address: 2203 Shearwater Cir, Walled Lake, MI 48390-4254
Phone: (248) 408-0632
Mailing address: PO Box 785, Union Lake, MI 48387-0785

Authorised official

Name: Karen Ferguson Taylor
Title: Owner
Phone: (248) 408-0632

Registered specialties

Case Management Agency Primary

Agencies Taxonomy 251B00000X

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Registry record

NPI: 1164093126
Entity type: Organization
NPI issued: 9 Jul 2021
Record last updated: 9 Jul 2021

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.