| NPI | 1174377295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 171R00000X Interpreter |
| 171WH0202X Contractor, Home Modifications | |
| 172A00000X Driver | |
| 1744G0900X Specialist, Graphics Designer | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251T00000X PACE Provider Organization | |
| 251V00000X Voluntary or Charitable | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |