Provider Demographics
NPI:1922363621
Name:T & W CASE MANAGEMENT
Entity Type:Organization
Organization Name:T & W CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRISTY
Authorized Official - Middle Name:SHERYLL
Authorized Official - Last Name:KINCER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-403-1033
Mailing Address - Street 1:69 PEACH DRIVE
Mailing Address - Street 2:
Mailing Address - City:ERMINE
Mailing Address - State:KY
Mailing Address - Zip Code:41815
Mailing Address - Country:US
Mailing Address - Phone:606-403-1033
Mailing Address - Fax:
Practice Address - Street 1:69 PEACH DRIVE
Practice Address - Street 2:
Practice Address - City:ERMINE
Practice Address - State:KY
Practice Address - Zip Code:41815
Practice Address - Country:US
Practice Address - Phone:606-403-1033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management