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NPI Code Detail

MEDICARE: TAVURIM LLC

MEDICARE: TAVURIM LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1588391841
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAVURIM LLC
Provider Business Mailing Address
First Line : 2 N CENTRAL AVE STE 1800
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-2139
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2 N CENTRAL AVE STE 1800
Second Line :
City : PHOENIX
State : AZ
Zip : 85004-2139
Country : US
Telephone Number : 832-837-7098
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PATRICIA SONIA KING
Credential :
Telephone Number : 832-837-7098
Provider Enumeration Date : 08/05/2022
Last Update Date : 08/05/2022

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Directions to “TAVURIM LLC ” Practice Location

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