Most Relevant Information
Provider Data
| NPI Number: | 1003646597 |
| Provider Name: | JOHN TYLER TAGGART QMHS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2024 |
| Last Updated: | 08/07/2024 |
Provider Practice Location
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS
OH
441184819
Practice Location Phone/Fax
| Phone: | 2169322800 |
| Fax: |
Provider Mailing Location
22001 FAIRMOUNT BLVD
SHAKER HEIGHTS
OH
441184819
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |