Justin J Taylor
Assisted Living Facility in International Falls, MN. Individual provider (NPI-1).
NPI number1699314765
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1699314765
- Entity type
- Individual (NPI-1)
- Name
- Justin J Taylor
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2020
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 394505 | MN | Yes |
Practice location
2020 Ridgeview DrInternational Falls, MN 56649-3829
Phone 218-283-2806 · Fax 218-283-2177
Mailing address
2020 Ridgeview DrInternational Falls, MN 56649-3829
Phone 218-283-2806
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