Provider Demographics
NPI:1275760225
Name:ELDERCARE MANAGEMENT & CONSULTING, LLC
Entity Type:Organization
Organization Name:ELDERCARE MANAGEMENT & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:ANTIN
Authorized Official - Last Name:CROWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:850-877-1992
Mailing Address - Street 1:PO BOX 14023
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32317-4023
Mailing Address - Country:US
Mailing Address - Phone:850-877-1992
Mailing Address - Fax:850-201-8830
Practice Address - Street 1:2510 MICCOSUKEE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-5473
Practice Address - Country:US
Practice Address - Phone:850-877-1992
Practice Address - Fax:850-201-8830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management