| 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 |