| NPI | 1306565007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 146D00000X Personal Emergency Response Attendant | |
| 171M00000X Case Manager/Care Coordinator | |
| 171W00000X Contractor | |
| 171WH0202X Contractor, Home Modifications | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2022-08-25 |