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NPI Code Detail

MEDICARE: CRYSTAL TAYLOR

MEDICARE: CRYSTAL TAYLOR
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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1023946449
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL TAYLOR
Provider Business Mailing Address
First Line : 4426 RED BUD AVE FL 1
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63115-3125
Country : US
Telephone Number : 314-643-1662
Fax Number :
Provider Business Practice Location Address
First Line : 2722 S SAINT PETERS PKWY STE 3
Second Line :
City : SAINT PETERS
State : MO
Zip : 63303-6381
Country : US
Telephone Number : 314-643-1662
Fax Number : 314-643-1662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ CRYSTAL TAYLOR ” Practice Location

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