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
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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