Sara Gibson

Individual provider Active NPI Case Manager/Care Coordinator · Cassopolis, MI

NPI 1487418463 · NPPES record last updated Feb 13, 2024

Key facts

NPI
1487418463
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
960 M 60 E
Cassopolis, MI 49031-9339
Phone
(269) 228-5112
NPI assigned
Feb 9, 2024
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)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

960 M 60 E
Cassopolis, MI 49031-9339

Mailing address

960 M 60 E
Cassopolis, MI 49031-9339

Other providers in Cassopolis, MI

All providers in Cassopolis, MI · Case Manager/Care Coordinator in Michigan

Sources for this page

Verify at the official NPI Registry.