MEDICARE: TAYLOR HOME CARE AGENCY

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1366297574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAYLOR HOME CARE AGENCY

Provider Business Mailing Address
First Line	:	2608 N 17TH ST APT 1
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19132-3929
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2608 N 17TH ST APT 1
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19132-3929
Country	:	US
Telephone Number	:	215-909-3438
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. AYSHA HORHAW
Credential	:
Telephone Number	:	215-909-3438

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	04/22/2024

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Directions to “TAYLOR HOME CARE AGENCY ” Practice Location

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