NPI | 1063029262 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OH 2107787) |
Additional Taxonomies | 347C00000X Private Vehicle (Licence: OH 2107787) |
3747P1801X Technician, Personal Care Attendant (Licence: OH 2107787) | |
Enumeration Date | 2020-09-30 |
Last Update Date | 2020-09-30 |