NPI | 1265050330 |
---|---|
Former Name | KURTIS JEWELL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OH 2573275) |
Additional Taxonomies | 172A00000X Driver (Licence: OH 2573275) |
251X00000X (Licence: OH 2573275) | |
343900000X Non-emergency Medical Transport (VAN) (Licence: OH 2573275) | |
3747P1801X Technician, Personal Care Attendant (Licence: OH 2573275) | |
376J00000X Homemaker (Licence: OH 2573275) | |
Enumeration Date | 2020-07-06 |
Last Update Date | 2020-12-01 |