| NPI | 1508152331 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver | |
| 376K00000X Nurse's Aide (Licence: OK 37h0299b1010) | |
| 171WH0202X Contractor, Home Modifications | |
| 172V00000X Community Health Worker | |
| 1744G0900X Specialist, Graphics Designer | |
| 1744P3200X Specialist, Prosthetics Case Management | |
| 174V00000X Clinical Ethicist | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2013-01-30 |