Provider Demographics
NPI:1417198359
Name:EAST CAROLINA CASE MANAGEMENT, INC.
Entity Type:Organization
Organization Name:EAST CAROLINA CASE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:S
Authorized Official - Last Name:OVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CCM, QRP
Authorized Official - Phone:919-580-9500
Mailing Address - Street 1:1505 E ASH ST
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27530-5203
Mailing Address - Country:US
Mailing Address - Phone:919-580-9500
Mailing Address - Fax:919-580-9200
Practice Address - Street 1:1505 E ASH ST
Practice Address - Street 2:
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-5203
Practice Address - Country:US
Practice Address - Phone:919-580-9500
Practice Address - Fax:919-580-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management