Provider Demographics
NPI:1942714027
Name:A. C. M., LLC
Entity Type:Organization
Organization Name:A. C. M., LLC
Other - Org Name:ADVOCACY CASE MANAGEMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-535-7181
Mailing Address - Street 1:225 HAY ST
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-6631
Mailing Address - Country:US
Mailing Address - Phone:757-535-7181
Mailing Address - Fax:
Practice Address - Street 1:225 HAY ST
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-6631
Practice Address - Country:US
Practice Address - Phone:757-535-7181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-27
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase ManagementGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY19140OtherWYOMING STATE BOARD OF NURSING