| NPI | 1043856131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: PA 43153601) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: PA 43153601) |
| 376J00000X Homemaker (Licence: PA 43153601) | |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2019-11-23 |