Organization
TAYLORS ENHANCED LIVING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE DANIELS TAYLOR (EXECUTIVE DIRECTOR)
(804) 520-5944
Entity
Organization
Contact information
Practice address
1738 BERKELEY AVE, PETERSBURG, VA 23805-2806
(804) 520-5944
(804) 520-8575
Mailing address
1655 E TUCKAHOE ST, PETERSBURG, VA 23805-1429
(804) 520-5944
(804) 520-8575
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
839
VA
Other
Enumeration date
01/27/2007
Last updated
07/12/2012
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