Provider Demographics
NPI:1699075754
Name:LINKED TARGETED CASE MANAGEMENT SERVICES, INC.
Entity type:Organization
Organization Name:LINKED TARGETED CASE MANAGEMENT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SWEETING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-905-5250
Mailing Address - Street 1:741 POST LAKE PL APT 203
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-8636
Mailing Address - Country:US
Mailing Address - Phone:407-905-5250
Mailing Address - Fax:407-905-5250
Practice Address - Street 1:741 POST LAKE PL APT 203
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-8636
Practice Address - Country:US
Practice Address - Phone:407-905-5250
Practice Address - Fax:407-905-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management