| Organization Name: | THE MAMIE B TAYLOR IN HOME CARE HEALTH AGENCY LLC |
| NPI Number: | 1033554530 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SALLIE L BROWN (CEO) |
| Mailing Address: | 1909 Coyote Ct Junction City |
| State: | KS US |
| Postal Code: | 664412665 |
| Phone Number: | 7854104124 |
| Fax Number: | 7852388312 |
| NPI Enumeration Date: | 05/09/2013 |
| NPI Last Update Date: | 05/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 98575 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |