Provider Demographics
NPI:1558895151
Name:AMICABLE CASE MANAGEMENT, INC
Entity Type:Organization
Organization Name:AMICABLE CASE MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDURAHMAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-288-1135
Mailing Address - Street 1:1011 W BROADWAY AVE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-2531
Mailing Address - Country:US
Mailing Address - Phone:952-288-1135
Mailing Address - Fax:612-260-2282
Practice Address - Street 1:1011 W BROADWAY AVE
Practice Address - Street 2:SUITE 217
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-2531
Practice Address - Country:US
Practice Address - Phone:952-288-1135
Practice Address - Fax:612-260-2282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5034001251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management