THE FANNIE E. TAYLOR HOME FOR THE AGED - TAYLOR MANOR INC. NPI 1659419497

NPI Information

THE FANNIE E. TAYLOR HOME FOR THE AGED - TAYLOR MANOR, INC. is an assisted living facility in Jacksonville, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THE FANNIE E. TAYLOR HOME FOR THE AGED - TAYLOR MANOR, INC. NPI is 1659419497. The provider is registered as an organization entity type.
The provider Is Doing Business As Taylor Manor.

The provider's business location address is:

6605 CHESTER AVE
JACKSONVILLE, FL
ZIP 32217-252
Phone: (904) 636-0313
Fax: (904) 367-0021

The provider's authorized official is Mathew Sherburne .
The authorized official title is V.p. Finance & Administration and has the following contact phone number (904) 636-0313.

The CLIA number assigned to this NPI record is 10D0900354 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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