MEDICARE: TOYIA LYNN 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
1	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124538566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TOYIA LYNN TAYLOR

Provider Business Mailing Address
First Line	:	2840 AIRPORT HWY APT G
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1556
Country	:	US
Telephone Number	:	567-315-5652
Fax Number	:

Provider Business Practice Location Address
First Line	:	2840 AIRPORT HWY APT G
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43609-1556
Country	:	US
Telephone Number	:	567-315-5652
Fax Number	:

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

Provider Enumeration Date	:	10/11/2017
Last Update Date	:	10/11/2017

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