NPI | 1376305003 |
---|---|
Former Name | OLUMIDE SILAS ADEDEJI |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
251E00000X Home Health | |
251G00000X Hospice Care, Community Based | |
3747A0650X Technician Attendant Care Provider | |
Enumeration Date | 2024-01-29 |
Last Update Date | 2024-01-29 |