| NPI | 1578085411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 376J00000X Homemaker |
| 374U00000X Home Health Aide | |
| 171W00000X Contractor | |
| 171WH0202X Contractor Home Modifications | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-07-21 |