Provider Demographics
NPI:1033355102
Name:ALBEMARLE CASE MANAGEMENT ASSOCIATES
Entity Type:Organization
Organization Name:ALBEMARLE CASE MANAGEMENT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:KELSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:QP
Authorized Official - Phone:252-339-9600
Mailing Address - Street 1:PO BOX 565
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27907-0565
Mailing Address - Country:US
Mailing Address - Phone:252-339-9600
Mailing Address - Fax:252-337-7173
Practice Address - Street 1:102 MEADS POOL RD
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-8737
Practice Address - Country:US
Practice Address - Phone:252-337-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management