Organization
TATYANAS CASE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA KOLESNIKOVA (OWNER)
(502) 645-8321
Entity
Organization
Contact information
Practice address
908 DUPONT RD # 101, LOUISVILLE, KY 40207-4602
(502) 891-0029
(502) 891-0028
Mailing address
1207 HOLSWORTH LN, LOUISVILLE, KY 40222-6615
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
07/20/2017
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