| NPI | 1306631940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 132700000X Dietary Manager |
| 146D00000X Personal Emergency Response Attendant | |
| 172A00000X Driver | |
| 174200000X Meals | |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 372500000X Chore Provider | |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |