Provider Demographics
NPI:1407090301
Name:TAYLOR BROTHERS ELECTRIC AND CONSTRUCTION
Entity Type:Organization
Organization Name:TAYLOR BROTHERS ELECTRIC AND CONSTRUCTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-890-3090
Mailing Address - Street 1:663 COLLINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2461
Mailing Address - Country:US
Mailing Address - Phone:614-890-3090
Mailing Address - Fax:614-890-3092
Practice Address - Street 1:663 COLLINGWOOD DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2461
Practice Address - Country:US
Practice Address - Phone:614-890-3090
Practice Address - Fax:614-890-3092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH17350251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2875241Medicaid