NPI | 1457953317 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health (Licence: OH 1830102) |
Additional Taxonomies | 172A00000X Driver (Licence: OH 1830102) |
374U00000X Home Health Aide (Licence: OH 1830102) | |
Enumeration Date | 2020-11-14 |
Last Update Date | 2020-11-14 |