| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver |
| 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health |
| 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care |
| 372500000X Chore Provider |
| 372600000X Adult Companion |
| 3747A0650X Technician Attendant Care Provider |
| 374U00000X Home Health Aide |
| 376J00000X Homemaker |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-03-01 |