Provider Demographics
NPI:1780838391
Name:TAYLOR-MADE STAFFING LLC
Entity Type:Organization
Organization Name:TAYLOR-MADE STAFFING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JINNY
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:717-737-7171
Mailing Address - Street 1:3720 TRINDLE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4333
Mailing Address - Country:US
Mailing Address - Phone:717-737-7171
Mailing Address - Fax:717-737-7188
Practice Address - Street 1:3720 TRINDLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4333
Practice Address - Country:US
Practice Address - Phone:717-737-7171
Practice Address - Fax:717-737-7188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care