NPI | 1518853365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
Additional Taxonomies | 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
Enumeration Date | 2025-06-17 |
Last Update Date | 2025-06-17 |