Provider Demographics
NPI:1447612304
Name:G&R CASE MANAGEMENT SERVICES, LLC
Entity Type:Organization
Organization Name:G&R CASE MANAGEMENT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-635-7839
Mailing Address - Street 1:PO BOX 20886
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-0886
Mailing Address - Country:US
Mailing Address - Phone:248-250-0443
Mailing Address - Fax:248-327-6968
Practice Address - Street 1:15900 W 10 MILE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2036
Practice Address - Country:US
Practice Address - Phone:248-250-0443
Practice Address - Fax:248-327-6968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty