NPI | 1073331369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 347C00000X Private Vehicle |
Additional Taxonomies | 251E00000X Home Health |
343900000X Non-emergency Medical Transport (VAN) | |
374U00000X Home Health Aide | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
Enumeration Date | 2024-09-26 |
Last Update Date | 2024-09-26 |