| NPI | 1306635560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-06-12 |