| NPI | 1033977400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLON E LEER Owner 631-710-9092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 372600000X Adult Companion |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |