| NPI | 1316651169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 385H00000X Respite Care | |
| 251E00000X Home Health | |
| 372600000X Adult Companion | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2023-01-06 |