| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 222Q00000X Developmental Therapist |
| 253Z00000X In Home Supportive Care |
| 385H00000X Respite Care |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities |
| 385HR2065X Respite Care Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |