Provider Demographics
NPI:1114267705
Name:HOUSTON CASE MANAGEMENT
Entity Type:Organization
Organization Name:HOUSTON CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAMEKA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KENDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-731-2965
Mailing Address - Street 1:100 LOCHLYN PL
Mailing Address - Street 2:APT 502
Mailing Address - City:BONAIRE
Mailing Address - State:GA
Mailing Address - Zip Code:31005-3267
Mailing Address - Country:US
Mailing Address - Phone:478-731-2965
Mailing Address - Fax:478-287-2073
Practice Address - Street 1:100 LOCHLYN PL
Practice Address - Street 2:APT 502
Practice Address - City:BONAIRE
Practice Address - State:GA
Practice Address - Zip Code:31005-3267
Practice Address - Country:US
Practice Address - Phone:478-731-2965
Practice Address - Fax:478-287-2073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management