| NPI | 1124977509 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251X00000X Supports Brokerage |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171WH0202X Contractor, Home Modifications | |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| 332U00000X Home Delivered Meals | |
| 342000000X Transportation Network Company | |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-01-27 |