Organization
TAYLOR TEAM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANTAYA ANETTA TAYLOR (OWNER)
(512) 552-7330
Entity
Organization
Contact information
Practice address
8525 DEJA AVE, AUSTIN, TX 78747-3903
(512) 552-7330
(512) 912-1842
Mailing address
8525 DEJA AVE, AUSTIN, TX 78747-3903
(512) 552-7330
(512) 912-1842
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2013
Last updated
06/16/2013
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