MEDICARE: TATIANA MARCHAY CRIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant	UJ154063	OH

General Provider Information

NPI Number	:	1932078078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATIANA MARCHAY CRIM

Provider Business Mailing Address
First Line	:	1783 E MAIN ST APT 12
Second Line	:
City	:	KENT
State	:	OH
Zip	:	44240-5819
Country	:	US
Telephone Number	:	330-815-6733
Fax Number	:

Provider Business Practice Location Address
First Line	:	1783 E MAIN ST APT 12
Second Line	:	APT 12
City	:	KENT
State	:	OH
Zip	:	44240-5819
Country	:	US
Telephone Number	:	330-815-6733
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2025
Last Update Date	:	12/04/2025

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Directions to “ TATIANA MARCHAY CRIM ” Practice Location

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