Provider Demographics
NPI:1669440608
Name:TAYLOR SUPPORT SERVICES, INC
Entity type:Organization
Organization Name:TAYLOR SUPPORT SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:ELANA
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:727-430-8855
Mailing Address - Street 1:PO BOX 21428
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33742-1428
Mailing Address - Country:US
Mailing Address - Phone:727-430-8855
Mailing Address - Fax:727-866-8160
Practice Address - Street 1:2000 69TH AVE S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-5822
Practice Address - Country:US
Practice Address - Phone:727-430-8855
Practice Address - Fax:727-866-8160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251C00000X, 251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services