Source Care Management LLC
NPI #1083764138 in Hawkinsville, Georgia
Provider Information
- NPI Number
- 1083764138
- Entity Type
- Organization
- Organization Name
- Source Care Management LLC
- Primary Specialty
- Case Management
- Enumeration Date
- Jan 11, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 316 MERRITT ST
- City
- Hawkinsville
- State
- Georgia
- ZIP Code
- 31036-1733
- Phone
- (478) 621-2070
Authorized Official
- Name
- CLAUDETTE SLADE, CPA
- Title
- VICE PRESIDENT OF FINANCE
- Phone
- (478) 621-2070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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