Most Relevant Information
Provider Data
| NPI Number: | 1003343047 |
| Provider Name: | CALVICE CASEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/22/2017 |
| Last Updated: | 05/22/2017 |
Provider Practice Location
HC 32 BOX 28
MOUNT JUDEA
AR
726559406
Practice Location Phone/Fax
| Phone: | 8706883422 |
| Fax: | 8706883422 |
Provider Mailing Location
HC 32 BOX 28
MT JUDEA
AR
72655
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |