Organization
TAYLORMADE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERREL TOWNSEND (EMPLOYEE)
(314) 536-0711
Entity
Organization
Contact information
Practice address
39 JOST MANOR CT, FLORISSANT, MO 63034
(314) 536-0711
Mailing address
39 JOST MANOR CT, FLORISSANT, MO 63034-2267
(314) 536-0711
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
825114531
—
MO
Enumeration date
05/21/2018
Last updated
06/25/2018
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