| NPI | 1497521025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251E00000X Home Health | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |