Individual
MICHELLE TAISEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2312 SHADOW VALLEY RD APT G, HIGH POINT, NC 27265-2767
(336) 231-1737
Mailing address
3 CANDLESTICK DR, THOMASVILLE, NC 27360-8605
(336) 231-1737
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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