Provider Demographics
NPI:1508564451
Name:TAYLOR, TOSHA J
Entity Type:Individual
Prefix:MISS
First Name:TOSHA
Middle Name:J
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 1:532 N FIRESTONE BLVD APT 1
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-2254
Mailing Address - Country:US
Mailing Address - Phone:330-573-3546
Mailing Address - Fax:
Practice Address - Street 1:532 N FIRESTONE BLVD APT 1
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-2254
Practice Address - Country:US
Practice Address - Phone:330-573-3546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care