| NPI | 1124436639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146D00000X Personal Emergency Response Attendant |
| Additional Taxonomies | 171WH0202X Contractor Home Modifications |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |