Provider Demographics
NPI:1740848217
Name:WASHINGTON CASE MANAGEMENT SERVICES LLC
Entity type:Organization
Organization Name:WASHINGTON CASE MANAGEMENT SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:WASHINGTON
Authorized Official - Middle Name:
Authorized Official - Last Name:OSLER
Authorized Official - Suffix:III
Authorized Official - Credentials:RN
Authorized Official - Phone:734-945-9912
Mailing Address - Street 1:PO BOX 970235
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-0031
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:466 S HAMILTON ST
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-5476
Practice Address - Country:US
Practice Address - Phone:734-945-9912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty