| NPI | 1346948262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 385H00000X Respite Care |
| 172A00000X Driver | |
| 253Z00000X In Home Supportive Care | |
| 332U00000X Home Delivered Meals | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747P1801X Technician Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-09-16 |