| NPI | 1609721976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: OH uk827323) |
| Enumeration Date | 2026-03-03 |
| Last Update Date | 2026-03-03 |