Provider Demographics
NPI:1669029948
Name:PRESTIGE CASE MANAGEMENT FIRM, LLC
Entity Type:Organization
Organization Name:PRESTIGE CASE MANAGEMENT FIRM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:COOPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-894-3869
Mailing Address - Street 1:1216 DAWSON RD STE 211
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-5753
Mailing Address - Country:US
Mailing Address - Phone:229-446-7332
Mailing Address - Fax:229-446-7435
Practice Address - Street 1:1216 DAWSON RD STE 211
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-5753
Practice Address - Country:US
Practice Address - Phone:229-446-7332
Practice Address - Fax:229-446-7435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty