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Organization
TATYANAS CASE MANAGEMENT, LLC
Active
Organization
TATYANAS CASE MANAGEMENT, LLC
Active
Other names
Tatyanas Case Management, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA KOLESNIKOVA (OWNER)
(502) 645-8321
Entity
Organization
Contact information
Practice address
4046 DUTCHMANS LN, LOUISVILLE, KY 40207-4712
(502) 645-8321
Mailing address
1207 HOLSWORTH LN, LOUISVILLE, KY 40222-6615
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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