Provider Demographics
NPI:1376203943
Name:ACCESS CASE MANAGEMENT LLC
Entity Type:Organization
Organization Name:ACCESS CASE MANAGEMENT LLC
Other - Org Name:ACCESS CASE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:BEHAUDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-708-0686
Mailing Address - Street 1:3250 AIRPORT WAY S STE 227
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98134-2167
Mailing Address - Country:US
Mailing Address - Phone:425-477-9208
Mailing Address - Fax:
Practice Address - Street 1:3250 AIRPORT WAY S STE 227
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98134-2167
Practice Address - Country:US
Practice Address - Phone:425-477-9208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management