NPI | 1205607876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
374U00000X Home Health Aide | |
Enumeration Date | 2024-01-12 |
Last Update Date | 2025-02-14 |