Individual provider · Type 1 NPI
Tina Marie Kavanagh
Attendant Care Provider · Manteca, CA
Practice location
635 Argonaut St
Manteca, CA 95336-3616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Attendant Care Provider Primary | 3747A0650X | None listed |
Attendant Care Provider: 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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About NPI 1053968560
Tina Marie Kavanagh's National Provider Identifier is 1053968560, issued on Aug 20, 2019. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Manteca, CA. The record was last updated on Aug 20, 2019.