Provider Demographics
NPI:1700413705
Name:TAYLOR, BRITTNEY SADE
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:SADE
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 1:4075 MONTICELLO BLVD APT 304
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2849
Mailing Address - Country:US
Mailing Address - Phone:216-965-8838
Mailing Address - Fax:
Practice Address - Street 1:4075 MONTICELLO BLVD APT 304
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44121-2849
Practice Address - Country:US
Practice Address - Phone:216-965-8838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care