NPI | 1407459373 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: OH 103718675499) |
Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: OH 103718675499) |
376J00000X Homemaker (Licence: OH 103718675499) | |
385H00000X Respite Care (Licence: OH 103718675499) | |
Enumeration Date | 2020-11-20 |
Last Update Date | 2020-11-20 |