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Missouri L Taylor

Adult Companion

Nursing Service Related Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Missouri L Taylor does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1336390889
Provider Type
Individual
Full Name
Taylor, Missouri L
Title
Mrs.
Credential
AA

Gender
Female
Sole Proprietor
No
Enumeration Date
10/2/2008
Last Updated
5/16/2025

Contact Information

Practice Location

121 Downey Ave, Modesto, CA 95354-1208

(209) 341-1824

Unlisted Fax

Mailing Location

121 Downey Ave, Modesto, CA 95354-1208

(209) 341-1824

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 372600000X Primary	Description Adult Companion Nursing Service Related Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 106S00000X	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer Virginia
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

Missouri L Taylor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Hernandez, Derek Anthony

Hermes, Martin