NPI | 1114416153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251J00000X Nursing Care |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 956556) |
310400000X Assisted Living Facility | |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2018-05-04 |
Last Update Date | 2025-07-02 |