Organization · Type 2 NPI

Carolina Collaborative Community Care, Inc

Case Management Registered Nurse · Fayetteville, NC

NPI number 1386387165 Active

Practice location

225 Green St Ste 1006
Fayetteville, NC 28301-1700

Specialties and licenses

Taxonomy	Code	License
Case Management Registered Nurse Primary	163WC0400X	None listed

Case Management Registered Nurse: Definition to come...

NPI record

NPI: 1386387165
Entity type: Organization (Type 2)
Issued: Apr 19, 2022
Last updated: Apr 27, 2023
Status: Active

Other names

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Carolina Collaborative Community Care (4c) · doing business as
Carolina Collaborative Community Care (4c) · doing business as

Authorized official

Dr. Delano K. Miller, D.MIN., M.DIV., M.A.
Executive Director
(910) 487-8451

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About NPI 1386387165

Carolina Collaborative Community Care, Inc's National Provider Identifier is 1386387165, issued on Apr 19, 2022. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 27, 2023.