Provider Demographics
NPI:1407521941
Name:COUNTRYVIEW CASE MANAGEMENT LLC.
Entity Type:Organization
Organization Name:COUNTRYVIEW CASE MANAGEMENT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BISE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-922-5700
Mailing Address - Street 1:3990 W WALTON BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:WATERFORD TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48329-4288
Mailing Address - Country:US
Mailing Address - Phone:248-922-5700
Mailing Address - Fax:248-922-5709
Practice Address - Street 1:3990 W WALTON BLVD STE A
Practice Address - Street 2:
Practice Address - City:WATERFORD TWP
Practice Address - State:MI
Practice Address - Zip Code:48329-4288
Practice Address - Country:US
Practice Address - Phone:248-922-5700
Practice Address - Fax:248-922-5709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management