| NPI | 1053042564 |
|---|---|
| Former Name | ANDREW TROST |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2024-01-02 |