| NPI | 1356514921 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 372500000X Chore Provider |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 376K00000X Nurse's Aide | |
| 164W00000X Licensed Practical Nurse (Licence: MI L1048906) | |
| 163W00000X Registered Nurse (Licence: MI L1040810) | |
| 163WA2000X Registered Nurse, Administrator (Licence: MI L1040810) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: MI L1040810) | |
| 163WG0000X Registered Nurse, General Practice (Licence: MI L1040810) | |
| 163WI0600X Registered Nurse, Infection Control (Licence: MI L1040810) | |
| 163WH0200X Registered Nurse, Home Health (Licence: MI L1040810) | |
| 163WI0500X Registered Nurse, Infusion Therapy (Licence: MI L1040810) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: MI L1040810) | |
| 163WW0000X Registered Nurse, Wound Care (Licence: MI L1040810) | |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-09-03 |