Provider Demographics
NPI:1487422523
Name:TAILOR-MADE HEALTH SOLUTIONS, LLC
Entity type:Organization
Organization Name:TAILOR-MADE HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:CLAYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAURIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:703-606-9895
Mailing Address - Street 1:24 ONVILLE RD # 201-7
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22556-3831
Mailing Address - Country:US
Mailing Address - Phone:703-606-9895
Mailing Address - Fax:
Practice Address - Street 1:24 ONVILLE RD # 201-7
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22556-3831
Practice Address - Country:US
Practice Address - Phone:703-606-9895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health