Healthcare Provider Details

I. General information

NPI: 1568630218
Provider Name (Legal Business Name): TAYLORS IN HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 10/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 TRAMPE HILL DR
SAINT LOUIS MO
63138-2672
US

IV. Provider business mailing address

6 TRAMPE HILL DR
SAINT LOUIS MO
63138-2672
US

V. Phone/Fax

Practice location:
  • Phone: 314-443-5961
  • Fax:
Mailing address:
  • Phone: 314-443-5961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateMO

VIII. Authorized Official

Name: MS. ERNESTINE BURROW
Title or Position: DIRECTOR / OWNER
Credential:
Phone: 314-741-8994