| NPI | 1023988508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: ND 143490) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: ND 143490) |
| 171400000X Health & Wellness Coach (Licence: ND 143490) | |
| 171R00000X Interpreter (Licence: ND 143490) | |
| 172A00000X Driver (Licence: ND 143490) | |
| 372500000X Chore Provider (Licence: ND 143490) | |
| 372600000X Adult Companion (Licence: ND 143490) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: ND 143490) | |
| 373H00000X Day Training/Habilitation Specialist (Licence: ND 143490) | |
| 3747A0650X Technician, Attendant Care Provider (Licence: ND 143490) | |
| 376J00000X Homemaker (Licence: ND 143490) | |
| 376G00000X Nursing Home Administrator (Licence: ND 143490) | |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-11-10 |