# TAYLORED CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699587972
- **Authorized official:** EBONY DANIELLE TAYLOR (OWNER)
- **Authorized official phone:** (218) 280-6049

## Contact information

- **Practice address:** 149 PALMETTO AVE, BEDFORD, OH 44146-3225
- **Practice address phone:** (216) 280-6049
- **Mailing address:** 149 PALMETTO AVE, BEDFORD, OH 44146-3225
- **Mailing address phone:** (216) 280-6049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | Yes |
| 171W00000X | Contractor | — | — | Yes |
| 172A00000X | Driver | — | NULL | — |
| 172A00000X | Driver | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |

## Other

- **Enumeration date:** 01/23/2025
- **Last updated:** 01/23/2025