Provider Demographics
NPI:1831657709
Name:ABC CASE MANAGEMENT, INC.
Entity Type:Organization
Organization Name:ABC CASE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:OBLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-910-5587
Mailing Address - Street 1:12971 S SHAWNEE DR
Mailing Address - Street 2:
Mailing Address - City:RIVERTON
Mailing Address - State:UT
Mailing Address - Zip Code:84096-7805
Mailing Address - Country:US
Mailing Address - Phone:801-910-5587
Mailing Address - Fax:801-788-7464
Practice Address - Street 1:12971 S SHAWNEE DR
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84096-7805
Practice Address - Country:US
Practice Address - Phone:801-910-5587
Practice Address - Fax:801-788-7464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-08
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management