| NPI | 1174081095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 374K00000X | |
| 376J00000X Homemaker | |
| Enumeration Date | 2019-03-10 |
| Last Update Date | 2019-03-10 |