NPI | 1487209722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
343800000X Secured Medical Transport (VAN) | |
247200000X Technician, Other | |
261QA0600X Clinic/Center, Adult Day Care | |
320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
Enumeration Date | 2019-08-05 |
Last Update Date | 2022-10-02 |