NPI | 1508222779 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: FL 6906860) |
Additional Taxonomies | 372600000X Adult Companion (Licence: FL 234224) |
376J00000X Homemaker (Licence: FL 234224) | |
Enumeration Date | 2016-01-04 |
Last Update Date | 2017-03-02 |