NPI | 1598186900 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 374U00000X Home Health Aide (Licence: PA 18833601) |
Additional Taxonomies | 372600000X Adult Companion (Licence: PA 18833601) |
376J00000X Homemaker (Licence: PA 18833601) | |
Enumeration Date | 2014-01-02 |
Last Update Date | 2014-01-03 |