NPI | 1003668203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 251E00000X Home Health |
253Z00000X In Home Supportive Care | |
261QA0600X Clinic/Center, Adult Day Care | |
311ZA0620X Custodial Care Facility, Adult Care Home | |
372500000X Chore Provider | |
Enumeration Date | 2024-04-02 |
Last Update Date | 2024-04-02 |