Provider Demographics
NPI:1467042762
Name:TEFS, JULIA LEGGETT
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:LEGGETT
Last Name:TEFS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1554 ROSEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WOOSTER
Mailing Address - State:OH
Mailing Address - Zip Code:44691-2572
Mailing Address - Country:US
Mailing Address - Phone:330-234-8414
Mailing Address - Fax:
Practice Address - Street 1:1555 ROSEWOOD DR
Practice Address - Street 2:
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-2573
Practice Address - Country:US
Practice Address - Phone:330-234-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No253Z00000XAgenciesIn Home Supportive Care