Provider Demographics
NPI:1356219505
Name:TAYLOR, EMILY MORGAN
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:MORGAN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 ELIZABETH LN
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:OH
Mailing Address - Zip Code:45690-1166
Mailing Address - Country:US
Mailing Address - Phone:740-941-9966
Mailing Address - Fax:740-941-9966
Practice Address - Street 1:3309 CLINES CHAPEL RD
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:OH
Practice Address - Zip Code:45690-8936
Practice Address - Country:US
Practice Address - Phone:740-222-8315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant