| NPI | 1093437287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 132700000X Dietary Manager |
| 172A00000X Driver | |
| 174200000X Meals | |
| 251E00000X Home Health | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| 305S00000X Point of Service | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |