| NPI | 1396410858 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| 374U00000X Home Health Aide | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-26 |