Individual
STEPHANIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 S 7TH ST, SPRINGFIELD, IL 62703-2833
(217) 503-9608
Mailing address
1614 S 7TH ST, SPRINGFIELD, IL 62703-2833
(217) 503-9608
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/01/2017
Last updated
01/01/2017
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