Carol Graham
Individual provider Active NPI Case Manager/Care Coordinator · Archer, FL
NPI 1629454657 · NPPES record last updated Aug 4, 2015
Key facts
- NPI
- 1629454657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 12450 NE 91St CT
Archer, FL 32618-6119 - Phone
- (954) 851-4941
- NPI assigned
- Jul 31, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | Yes |
Addresses
Primary practice location
12450 NE 91St CT
Archer, FL 32618-6119
Mailing address
12450 NE 91St Court
Archer, FL 32618
Phone (954) 851-4941
Other providers in Archer, FL
- Lakeshia Cousin
- Erica Rae Cuneo
- Brenda Dyal
- Elements of Movement, LLC
- Reathea Felder
- Spencer Haire
- Patricia Hall
- Aileen Michaela Hudson
- Kara Jones-Schubart
- Ebony Lassiter
All providers in Archer, FL · Case Manager/Care Coordinator in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2015. 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.