Provider Demographics
NPI:1235784281
Name:SNADON, EVA MARIA (TARGET CASE MANAGEME)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:MARIA
Last Name:SNADON
Suffix:
Gender:F
Credentials:TARGET CASE MANAGEME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6707 REST WAY
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-9608
Mailing Address - Country:US
Mailing Address - Phone:502-345-0033
Mailing Address - Fax:
Practice Address - Street 1:6707 REST WAY
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-9608
Practice Address - Country:US
Practice Address - Phone:502-345-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator