Individual provider · Type 1 NPI
Taidra Denean Times
Assisted Living Facility · Buena Vista, GA
NPI number
1356016307
Active
Practice location
205 E 6th Ave
Buena Vista, GA 31803-1909
Mailing address
PO Box 98
Buena Vista, GA 31803-0098
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: 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.
About NPI 1356016307
Taidra Denean Times's National Provider Identifier is 1356016307, issued on Aug 11, 2021. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Buena Vista, GA. The record was last updated on Aug 11, 2021.