Individual
TRACY TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 S CRIM AVE, BELINGTON, WV 26250-8345
(304) 823-0223
(304) 823-3600
Mailing address
PO BOX 92, BELINGTON, WV 26250-0092
(304) 823-0223
(304) 823-3600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
12/10/2020
Last updated
01/08/2021
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