| NPI | 1457758435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 299992282) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 299992282) |
| 372500000X Chore Provider (Licence: FL 29992282) | |
| 372600000X Adult Companion (Licence: FL 299992282) | |
| 376J00000X Homemaker (Licence: FL 299992282) | |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |