| NPI | 1306296793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376G00000X Nursing Home Administrator | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |