Individual provider · Type 1 NPI

Prince Tyro Shannon

Case Manager/Care Coordinator · Redford, MI

NPI number 1467016584 Active

Practice location

9315 Telegraph Rd
Redford, MI 48239-1260

Call (248) 513-5760 Map

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator Primary 171M00000X175T00000X-PEER (MI)

Case Manager/Care Coordinator: A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-e…

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About NPI 1467016584

Prince Tyro Shannon's National Provider Identifier is 1467016584, issued on Apr 24, 2019. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in Redford, MI. The record was last updated on May 5, 2026.