NPI | 1396544060 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 385H00000X Respite Care |
253Z00000X In Home Supportive Care | |
372600000X Adult Companion | |
Enumeration Date | 2025-03-13 |
Last Update Date | 2025-03-13 |