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Tavares Campbell
Homemaker in Southington, Connecticut
NPI 1518743178

Tavares Campbell is a Homemaker based in Southington, CT. Tavares Campbell practices in Southington, CT. The NPI Number for Tavares Campbell is 1518743178 and holds a License No. 0002272 (Connecticut).

The current practice location address for Tavares Campbell is 89 Rochela Dr, Southington, CT and can be reached out via phone at 860-781-1973.

Location: 89 Rochela Dr, Southington, CT, 06489-4670
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518743178
Provider Name
Tavares Campbell
Credential
Provider Entity Type
Individual
Gender
Male
Address
89 Rochela Dr, Southington, CT, 06489-4670
Phone Number
860-781-1973
Fax Number
Provider Enumeration Date
09/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
89 Rochela Dr
City
Southington
State
Connecticut
Zip
06489-4670
Phone Number
860-781-1973
Fax Number
person
Provider Business Mailing Address Details
Address
89 Rochela Dr
City
Southington
State
Connecticut
Zip
06489-4670
Phone Number
860-781-1973
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
376J00000X
License No.
0002272 (Connecticut)
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
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