Individual
MRS. TAIRLA ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 BROWN ST, JOHNSON CITY, NY 13790-2027
(607) 350-9057
Mailing address
95 BROWN ST, JOHNSON CITY, NY 13790-2027
(607) 350-9057
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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