Stacy Grim

Case Manager/Care Coordinator · Clinton, MS

Individual Active NPI

NPI number 1528704996

Practice location

604 Highway 80 W
Clinton, MS 39056-4108
Phone
(601) 473-2106

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NPI record

NPI
1528704996
Entity type
Individual (Type 1)
Enumeration date
May 9, 2022
Last updated
May 9, 2022
Certified
May 9, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

669 New Hope Rd
Mount Olive, MS 39119-5639
Phone
(479) 208-3513

About Stacy Grim

Stacy Grim is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 604 Highway 80 W, Clinton, MS 39056-4108. The NPI number 1528704996 was assigned on May 9, 2022 and the record was last updated on May 9, 2022.

Frequently asked questions

What is the NPI number of Stacy Grim?

The NPI number is 1528704996.

What is the phone number of Stacy Grim?

The phone number listed for the practice location is (601) 473-2106.

Where is Stacy Grim located?

604 Highway 80 W, Clinton, MS 39056-4108.

What is the taxonomy code for Stacy Grim?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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