Individual
LISA SHIRL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ADVANTAGE HOME CARE 15 BANK ST, CLAY, WV 25019
(304) 587-9992
(304) 587-9993
Mailing address
912 FOLA RD, BICKMORE, WV 25019-9764
(304) 689-0986
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
06/09/2022
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