Individual
TIFFANY M TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 SANGAREE PKWY APT 4F, SUMMERVILLE, SC 29486-1842
(843) 442-6285
Mailing address
775 SANGAREE PKWY APT 4F, SUMMERVILLE, SC 29486-1842
(843) 442-6285
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
385H00000X
Respite Care
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88-4087812
—
SC
Enumeration date
09/09/2022
Last updated
09/09/2022
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