Provider Demographics
NPI:1043286537
Name:CASE MANAGEMENT OF MICHIGAN, INC.
Entity Type:Organization
Organization Name:CASE MANAGEMENT OF MICHIGAN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRI
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:TIMMONS STASKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:269-381-4446
Mailing Address - Street 1:5340 HOLIDAY TER STE 9
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-2196
Mailing Address - Country:US
Mailing Address - Phone:269-381-4446
Mailing Address - Fax:269-381-4457
Practice Address - Street 1:5340 HOLIDAY TER STE 9
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-2196
Practice Address - Country:US
Practice Address - Phone:269-381-4446
Practice Address - Fax:269-381-4457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-24
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management