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Find providers by NPI
Organization

TAYLORED LIFE CARE

Active
Parent organization
TAYLORED LIFE CARE
Other names
River's Edge Telehealth and Wellness
Organization subpart
Yes

Provider details

NPI number
Legal business name
TAYLORED LIFE CARE
Authorized official
SANDRA K SHOCKEY APRN (APRN)
(304) 893-7000
Entity
Organization

Contact information

Practice address
747 N MAIN ST, SUITE C, MOOREFIELD, WV 26836
(304) 916-2593
Mailing address
806 NEAL ST UNIT 3589, PARKERSBURG, WV 26103-4032
(304) 916-2593

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679706469
NPI
Enumeration date
03/26/2021
Last updated
03/26/2021
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