Individual provider · NPI-1
Lavonda Taylor
Home Health Aide · Moorhead, MN
NPI number1699657064
StatusActive
Last updated in NPPESJul 24, 2025
Details
- NPI
- 1699657064
- Entity type
- Individual (NPI-1)
- Name
- Lavonda Taylor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2025
- Certification date
- Jul 24, 2025
- Last updated
- Jul 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
3912 7th St SMoorhead, MN 56560-5642
Phone 414-544-5656
Mailing address
3912 7th St SMoorhead, MN 56560-5642
Phone 414-544-5656
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