| NPI | 1477918324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: FL 30211505) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: FL 30211505) |
| 372500000X Chore Provider (Licence: FL 30211505) | |
| 376J00000X Homemaker (Licence: FL 30211505) | |
| 376K00000X Nurse's Aide (Licence: FL 30211505) | |
| Enumeration Date | 2015-12-19 |
| Last Update Date | 2015-12-21 |