| NPI | 1528356045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 372600000X Adult Companion | |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |