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Tavia Alease Mims
Attendant Care Provider in Salt Lake City, Utah
NPI 1639890189

Tavia Alease Mims is an Attendant Care Provider based in Salt Lake City, UT and is specialized in Attendant Care Provider. Tavia Alease Mims practices in Salt Lake City, UT. The NPI Number for Tavia Alease Mims is 1639890189 and holds a License No. (Utah).

The current practice location address for Tavia Alease Mims is 814 W 800 S Apt C, Salt Lake City, UT and can be reached out via phone at 801-657-2920.

Location: 814 W 800 S Apt C, Salt Lake City, UT, 84104-1491
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639890189
Provider Name
Tavia Alease Mims
Credential
Provider Entity Type
Individual
Gender
Female
Address
814 W 800 S Apt C, Salt Lake City, UT, 84104-1491
Phone Number
801-657-2920
Fax Number
Provider Enumeration Date
09/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
814 W 800 S Apt C
City
Salt Lake City
State
Utah
Zip
84104-1491
Phone Number
801-657-2920
Fax Number
person
Provider Business Mailing Address Details
Address
814 W 800 S Apt C
City
Salt Lake City
State
Utah
Zip
84104-1491
Phone Number
801-657-2920
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Technician
Speciality
Attendant Care Provider
Taxonomy
3747A0650X
License No.
()
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
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