| NPI | 1275480188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 376J00000X Homemaker |
| 385H00000X Respite Care | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2026-03-11 |
| Last Update Date | 2026-03-12 |