Julie I Tavares is a Respite Care based in Medford, NY. Julie I Tavares practices in Medford, NY. The NPI Number for Julie I Tavares is 1609432301 and holds a License No. (New York).
The current practice location address for Julie I Tavares is 42 Ashton Rd, Medford, NY and can be reached out via phone at 631-334-3520.
Location: 42 Ashton Rd, Medford, NY, 11763-1002
Provider Profile Details
NPI Number
1609432301
Provider Name
Julie I Tavares
Credential
Provider Entity Type
Individual
Gender
Female
Address
42 Ashton Rd, Medford, NY, 11763-1002
Phone Number
631-334-3520
Fax Number
Provider Enumeration Date
05/17/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81-1025305 | 05 | NY | |
| 81-1025305 | 01 | NY | SOLE PROP |
Provider Business Practice Location Address Details
Address
42 Ashton Rd
City
State
Zip
11763-1002
Phone Number
631-334-3520
Fax Number
Provider Business Mailing Address Details
Address
42 Ashton Rd
City
State
Zip
11763-1002
Phone Number
631-334-3520
Fax Number
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Homemaker
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come.
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