Individual
TAISHA TATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6114 DELANCEY ST, PHILADELPHIA, PA 19143-1004
(443) 466-1315
Mailing address
13 PEMBROKE LN, NEW CASTLE, DE 19720-3806
(443) 466-1315
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
—
DE
342000000X
Transportation Network Company
—
DE
342000000X
Transportation Network Company
Primary
—
PA
347E00000X
Transportation Broker
—
DE
347E00000X
Transportation Broker
—
PA
3747P1801X
Personal Care Attendant
—
PA
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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