| NPI | 1548029085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 372500000X Chore Provider |
| 374U00000X Home Health Aide | |
| 253Z00000X In Home Supportive Care | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-05-10 |