Provider Demographics
NPI:1972844058
Name:ADVANCED CASE MANAGEMENT, INC.
Entity Type:Organization
Organization Name:ADVANCED CASE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NGINA
Authorized Official - Middle Name:BURGETTE
Authorized Official - Last Name:BRADFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-423-5000
Mailing Address - Street 1:17515 W 9 MILE RD
Mailing Address - Street 2:SUITE 1188
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4403
Mailing Address - Country:US
Mailing Address - Phone:248-423-5000
Mailing Address - Fax:248-423-5002
Practice Address - Street 1:17515 W 9 MILE RD
Practice Address - Street 2:SUITE 1188
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4403
Practice Address - Country:US
Practice Address - Phone:248-423-5000
Practice Address - Fax:248-423-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management