Provider Demographics
NPI:1952000721
Name:TAYLOR'S HOUSE OF CAMELLIAS LLC
Entity Type:Organization
Organization Name:TAYLOR'S HOUSE OF CAMELLIAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAAMILYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELHADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-225-4440
Mailing Address - Street 1:2812 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-3509
Mailing Address - Country:US
Mailing Address - Phone:251-225-4440
Mailing Address - Fax:
Practice Address - Street 1:2812 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-3509
Practice Address - Country:US
Practice Address - Phone:251-225-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus