| NPI | 1437770617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: OH TA181308) |
| Additional Taxonomies | 251E00000X Home Health (Licence: WV 9AUSO) |
| 253Z00000X In Home Supportive Care (Licence: WV 9AUSO) | |
| 342000000X Transportation Network Company (Licence: OH TA181308) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: WV 9AUSO) | |
| 347C00000X Private Vehicle (Licence: WV 9AUSO) | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2023-10-18 |