Provider Demographics
NPI:1700612967
Name:TAYLOR, ALIYAH A (HOME CARE)
Entity type:Individual
Prefix:
First Name:ALIYAH
Middle Name:A
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:HOME CARE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 16TH ST E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-4633
Mailing Address - Country:US
Mailing Address - Phone:941-896-8433
Mailing Address - Fax:941-896-8433
Practice Address - Street 1:3411 16TH ST E
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-4633
Practice Address - Country:US
Practice Address - Phone:941-896-8433
Practice Address - Fax:941-896-8433
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home