| NPI | 1598422214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
| 376J00000X Homemaker (Licence: NC 9940284) | |
| 172A00000X Driver (Licence: NC 9940284) | |
| 332U00000X Home Delivered Meals | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |