Provider Demographics
NPI:1326654716
Name:DANIELS, TAYLOR KAE
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:KAE
Last Name:DANIELS
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 1:628 MARTIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45331-1829
Mailing Address - Country:US
Mailing Address - Phone:937-564-5550
Mailing Address - Fax:
Practice Address - Street 1:628 MARTIN ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:OH
Practice Address - Zip Code:45331-1829
Practice Address - Country:US
Practice Address - Phone:937-564-5550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-21
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health