NPI 1871221549

Elite Case Management Agency LLC

Organisation General Practice Physician Jackson, MS

Practice location

Address: 1700 University Blvd STE 8, Jackson, MS 39204-3907
Phone: (601) 863-0258
Mailing address: 409 Bald Cypress Cv, Terry, MS 39170-6002

Authorised official

Name: Latosha McNair
Title: Cno
Phone: (601) 863-0258

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Mississippi →

Registry record

NPI: 1871221549
Entity type: Organization
NPI issued: 10 Aug 2022
Record last updated: 11 Oct 2022

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.