Provider Demographics
NPI:1114473691
Name:'YOUR FAMILY CASEMANGEMENTSERVICES LLC'
Entity Type:Organization
Organization Name:'YOUR FAMILY CASEMANGEMENTSERVICES LLC'
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIN KATIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:DUKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-651-2106
Mailing Address - Street 1:350 DESIARD PLAZA DR
Mailing Address - Street 2:115
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71203-4959
Mailing Address - Country:US
Mailing Address - Phone:318-651-2106
Mailing Address - Fax:
Practice Address - Street 1:350 DESIARD PLAZA DR
Practice Address - Street 2:115
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-4959
Practice Address - Country:US
Practice Address - Phone:318-651-2106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management