Provider Demographics
NPI:1205594637
Name:SIGNS OF RECOVERY CASE MANAGEMENT LLC
Entity type:Organization
Organization Name:SIGNS OF RECOVERY CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-445-1081
Mailing Address - Street 1:PO BOX 725024
Mailing Address - Street 2:
Mailing Address - City:BERKLEY
Mailing Address - State:MI
Mailing Address - Zip Code:48072-5024
Mailing Address - Country:US
Mailing Address - Phone:248-445-1081
Mailing Address - Fax:888-866-4391
Practice Address - Street 1:25900 GREENFIELD RD STE 236
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-1267
Practice Address - Country:US
Practice Address - Phone:248-445-1081
Practice Address - Fax:888-866-4391
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MII526465646724OtherAUTO INSURANCE