| Organization Name: | TAYLOR FAMILY CARE HOME,LLC |
| NPI Number: | 1578849485 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CLARISSA TAYLOR WALKER (OWNER) |
| Mailing Address: | 2572 Ridgeview Dr Valdese |
| State: | NC US |
| Postal Code: | 286909573 |
| Phone Number: | 8284372512 |
| Fax Number: | 8284398524 |
| NPI Enumeration Date: | 10/25/2011 |
| NPI Last Update Date: | 10/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 311ZA0620X |
| License Number: | FCL012023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Custodial Care Facility |
| Taxonomy Specialization: | Adult Care Home |
| Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |