NPI | 1356011837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: SC EY1059) |
Additional Taxonomies | 251E00000X Home Health (Licence: SC IHCP-1558) |
251J00000X Nursing Care (Licence: SC IHCP-1558) | |
372600000X Adult Companion (Licence: SC IHCP-1558) | |
385H00000X Respite Care (Licence: SC IHCP-1558) | |
Enumeration Date | 2021-09-16 |
Last Update Date | 2024-09-30 |