Provider Demographics
NPI:1013091883
Name:CORINE'S CARE MANAGEMENT, INC
Entity Type:Organization
Organization Name:CORINE'S CARE MANAGEMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-531-0467
Mailing Address - Street 1:55 PATRICK DR
Mailing Address - Street 2:
Mailing Address - City:SNOW HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28580-9515
Mailing Address - Country:US
Mailing Address - Phone:252-747-5705
Mailing Address - Fax:252-747-5705
Practice Address - Street 1:369B HWY 13 S
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-8472
Practice Address - Country:US
Practice Address - Phone:252-747-5705
Practice Address - Fax:252-747-5635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health