NPI | 1144027756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC hha200002028) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2025-03-01 |
Last Update Date | 2025-08-14 |