NPI | 1174216196 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
Enumeration Date | 2023-05-26 |
Last Update Date | 2023-10-31 |