| NPI | 1134786130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: MN 1099334) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: MN 1099334) |
| 376J00000X Homemaker (Licence: MN 1099334) | |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |