Individual
ELIZETTE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13441 ENGLISH PEAK CT, JACKSONVILLE, FL 32258-5502
(904) 345-1914
Mailing address
13441 ENGLISH PEAK CT, JACKSONVILLE, FL 32258-5502
(904) 345-1914
(904) 345-1914
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
FL
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
FL
376J00000X
Homemaker
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002406100
—
FL
Enumeration date
05/22/2019
Last updated
05/22/2019
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