Provider Demographics
NPI:1215395546
Name:AB CASE MANAGEMENT AGENCY LLC
Entity Type:Organization
Organization Name:AB CASE MANAGEMENT AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-263-7905
Mailing Address - Street 1:4104 GARDEN WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-4400
Mailing Address - Country:US
Mailing Address - Phone:469-263-7905
Mailing Address - Fax:469-353-8464
Practice Address - Street 1:4104 GARDEN WAY
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-4400
Practice Address - Country:US
Practice Address - Phone:469-263-7905
Practice Address - Fax:469-353-8464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management