Deloris Fay Garrett, CASE MANAGER

Individual provider Active NPI Case Manager/Care Coordinator · Edmonton, KY

NPI 1346422326 · NPPES record last updated Nov 30, 2007

Key facts

NPI
1346422326
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
112 Sartin Dr.
Edmonton, KY 42129
Phone
(270) 432-4951
Fax
(270) 432-5054
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills, Inc. Past
since Jun 27, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

112 Sartin Dr.
Edmonton, KY 42129

Mailing address

50 Rollin Garrett Rd.
Edmonton, KY 42129
Phone (270) 432-4951

Other identifiers

IdentifierTypeStateIssuer
28004018MedicaidKY

Other providers in Edmonton, KY

All providers in Edmonton, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.