Provider Demographics
NPI:1477225753
Name:INTEGRAL NURSE CASE MANAGEMENT
Entity type:Organization
Organization Name:INTEGRAL NURSE CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WALSH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:206-849-2717
Mailing Address - Street 1:3820 CAMPUS PARK DR NE
Mailing Address - Street 2:
Mailing Address - City:LACEY
Mailing Address - State:WA
Mailing Address - Zip Code:98516-3901
Mailing Address - Country:US
Mailing Address - Phone:206-849-2717
Mailing Address - Fax:
Practice Address - Street 1:3820 CAMPUS PARK DR NE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98516-3901
Practice Address - Country:US
Practice Address - Phone:206-849-2717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management