Individual
THERESA ROSE TASKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 S CENTER AVE APT 1, GAYLORD, MI 49735-1299
(989) 350-5677
Mailing address
PO BOX 1046, GAYLORD, MI 49734-5046
(989) 619-1667
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
7148416
MI
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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