| NPI | 1558192252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376J00000X Homemaker | |
| 251G00000X Hospice Care, Community Based | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2025-09-30 |