Individual provider · Type 1 NPI

Taylor Wallace

Attendant Care Provider · Salt Lake Cty, UT

NPI number 1104472760 Active

Practice location

2791 S 2475 E
Salt Lake Cty, UT 84109-1825

Specialties and licenses

TaxonomyCodeLicense
Attendant Care Provider Primary 3747A0650XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

About NPI 1104472760

Taylor Wallace's National Provider Identifier is 1104472760, issued on Aug 9, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Salt Lake Cty, UT. The record was last updated on Aug 9, 2019.