Provider Demographics
NPI: | 1659688117 |
---|---|
Name: | CASE MANAGEMENT OPTIONS LLC |
Entity type: | Organization |
Organization Name: | CASE MANAGEMENT OPTIONS LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | STEPHANIE |
Authorized Official - Middle Name: | LASHAWN |
Authorized Official - Last Name: | LOCKABY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 606-682-3272 |
Mailing Address - Street 1: | 515 LOCKABY LN |
Mailing Address - Street 2: | |
Mailing Address - City: | LONDON |
Mailing Address - State: | KY |
Mailing Address - Zip Code: | 40744-7078 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 606-682-3272 |
Mailing Address - Fax: | 606-862-0010 |
Practice Address - Street 1: | 515 LOCKABY LN |
Practice Address - Street 2: | |
Practice Address - City: | LONDON |
Practice Address - State: | KY |
Practice Address - Zip Code: | 40744-7078 |
Practice Address - Country: | US |
Practice Address - Phone: | 606-682-3272 |
Practice Address - Fax: | 606-862-0010 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2010-09-06 |
Last Update Date: | 2010-09-06 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |