| NPI | 1508794496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 372600000X Adult Companion | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747P1801X Technician, Personal Care Attendant | |
| 376J00000X Homemaker | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-05-27 |