NPI | 1134962731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 251G00000X Hospice Care, Community Based |
374U00000X Home Health Aide | |
385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: MI A530792815197) | |
385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
Enumeration Date | 2024-06-13 |
Last Update Date | 2024-06-18 |