Desirae D Cavaness, RECOVERY ASSISTANT
Individual provider Active NPI Case Manager/Care Coordinator · Malvern, AR
NPI 1124548557 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1124548557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1628 E Page Ave
Malvern, AR 72104-4524 - Phone
- (501) 303-3105
- NPI assigned
- Jun 27, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | AR | Yes |
Addresses
Primary practice location
1628 E Page Ave
Malvern, AR 72104-4524
Mailing address
1628 E Page Ave
Malvern, AR 72104-4524
Phone (501) 303-3105
Other providers in Malvern, AR
- Caitlyn Cantrell
- Christina Cantrell
- Laura Lynn Carnahan
- Lisa Carol Carpenter
- Mary Ann Carthan
- Central Arkansas Development Council
- Chad D Matone DDS PA
- Kristin Lee Chaffee
- Melissa Chambers
- A Chapman
All providers in Malvern, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.