Individual
BARBARA LEE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1188 BERTHA WILSON RD, BLANCH, NC 27212-9795
(336) 694-3286
Mailing address
1188 BERTHA WILSON RD, BLANCH, NC 27212-9795
(336) 694-3286
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
381
NC
310400000X
Assisted Living Facility
Primary
017059
NC
3104A0625X
Assisted Living Facility (Mental Illness)
017059
NC
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
017059
NC
310500000X
Mental Illness Intermediate Care Facility
017059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017059
FAMILY CARE LICENSE
NC
Enumeration date
11/17/2010
Last updated
02/08/2022
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