NPI | 1558004960 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 172A00000X Driver |
253Z00000X In Home Supportive Care | |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2022-04-14 |
Last Update Date | 2022-04-14 |