| NPI | 1346889862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 347C00000X Private Vehicle | |
| 171R00000X Interpreter | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2023-09-12 |