NPI | 1295266989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service |
310400000X Assisted Living Facility | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2021-03-22 |