| NPI | 1154749471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
| Additional Taxonomies | 251E00000X Home Health |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 315D00000X Hospice, Inpatient | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |