| NPI | 1336650787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC IHCP-0944) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: SC IHCP-0944) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-03-10 |