Provider Demographics
NPI:1851100291
Name:TAILOR MADE SEAMOSS LTD
Entity type:Organization
Organization Name:TAILOR MADE SEAMOSS LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEAIRRA
Authorized Official - Middle Name:D
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-527-3630
Mailing Address - Street 1:635 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-3504
Mailing Address - Country:US
Mailing Address - Phone:216-889-7832
Mailing Address - Fax:
Practice Address - Street 1:635 BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-3504
Practice Address - Country:US
Practice Address - Phone:216-889-7832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-31
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy