| NPI | 1104618289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 311Z00000X Custodial Care Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |