Provider Demographics
NPI:1689370454
Name:TAYLOR, JAMES ERIC
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ERIC
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 40311
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-0311
Mailing Address - Country:US
Mailing Address - Phone:513-526-8367
Mailing Address - Fax:
Practice Address - Street 1:91 BURLEY CIR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45218-1315
Practice Address - Country:US
Practice Address - Phone:513-526-8367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care