Individual
JUSTIN J TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2020 RIDGEVIEW DR, INTERNATIONAL FALLS, MN 56649-3829
(218) 283-2806
(218) 283-2177
Mailing address
2020 RIDGEVIEW DR, INTERNATIONAL FALLS, MN 56649-3829
(218) 283-2806
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
394505
MN
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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