Individual
BAILEY JUSTINE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HCA
Contact information
Practice address
701 BURR RD APT 16, WAUSEON, OH 43567-1600
(419) 330-4037
Mailing address
1036 GERLOCK DR, FOSTORIA, OH 44830-1903
(772) 501-3458
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
0360195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360195
—
OH
Enumeration date
08/02/2020
Last updated
08/02/2020
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