Individual provider · Type 1 NPI

Latairricka//198 Bolden

Case Manager/Care Coordinator · West Memphis, AR

NPI number 1508541004 Active

Practice location

103 S Avalon St
West Memphis, AR 72301-4165

Fax (870) 702-7111

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator Primary	171M00000X	None listed

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 1508541004

Latairricka//198 Bolden's National Provider Identifier is 1508541004, issued on Jun 21, 2023. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in West Memphis, AR. The record was last updated on Sep 29, 2026.