| NPI | 1184556961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| 385H00000X Respite Care | |
| Enumeration Date | 2026-06-03 |
| Last Update Date | 2026-06-03 |