| NPI | 1073323788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: IL 14242295) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: IL 14242295) |
| 376J00000X Homemaker (Licence: IL 14242295) | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-01-14 |