A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
taxonomy 171M00000X
Identifiers
Type
Value
Notes
01 (GA)
GRP7483
MEDICARE GROUP NUMBER
05 (GA)
000498209A
05 (GA)
00120205A
05 (GA)
085500200G
05 (GA)
00120205B
05 (GA)
000680314G
05 (GA)
000321626G
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
ST JOSEPH'S/CANDLER SOURCE
Type code 5recorded 2023-07-10
ST JOSEPH'S/CANDLER SOURCE
Type code 5recorded 2008-01-17
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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