Provider Demographics
NPI:1194250779
Name:A GIFTED HAND CASE MANAGEMENT LLC.
Entity type:Organization
Organization Name:A GIFTED HAND CASE MANAGEMENT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-332-5425
Mailing Address - Street 1:1285 NE 157TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33162-5541
Mailing Address - Country:US
Mailing Address - Phone:305-332-5425
Mailing Address - Fax:
Practice Address - Street 1:1285 NE 157TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-5541
Practice Address - Country:US
Practice Address - Phone:305-332-5425
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization