NPI | 1043192925 |
---|---|
Former Name | LITITA NICOLE COLSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5266935) |
372600000X Adult Companion | |
374U00000X Home Health Aide | |
385H00000X Respite Care | |
Enumeration Date | 2025-07-22 |
Last Update Date | 2025-07-22 |