Provider Demographics
NPI:1861814436
Name:J.D. CASE MANAGEMENT, INC.
Entity Type:Organization
Organization Name:J.D. CASE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMOND
Authorized Official - Suffix:III
Authorized Official - Credentials:RN
Authorized Official - Phone:801-688-5951
Mailing Address - Street 1:1897 E BOSHAM LN
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-4055
Mailing Address - Country:US
Mailing Address - Phone:801-688-5112
Mailing Address - Fax:
Practice Address - Street 1:1897 E BOSHAM LN
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-4055
Practice Address - Country:US
Practice Address - Phone:801-688-5112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management