NPI | 1184302200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 385HR2050X Respite Care, Respite Care Camp |
251E00000X Home Health | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2023-07-10 |
Last Update Date | 2024-01-24 |