# TAYLOR MADE HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Taylor Made Home Health LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912461971
- **Authorized official:** MR. LANCE ANTHONY TAYLOR (EXECUTIVE DIRECTOR/ ADMINISTOR)
- **Authorized official phone:** (757) 535-5214

## Contact information

- **Practice address:** 1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
- **Practice address phone:** (757) 535-5214
- **Mailing address:** 1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
- **Mailing address phone:** (757) 535-5214

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2019
- **Last updated:** 01/24/2019
