NPI | 1316835200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
Additional Taxonomies | 372500000X Chore Provider |
372600000X Adult Companion | |
374U00000X Home Health Aide | |
Enumeration Date | 2025-06-27 |
Last Update Date | 2025-06-30 |