NPI | 1619572039 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 172A00000X Driver |
261QA0600X Clinic/Center, Adult Day Care | |
343900000X Non-emergency Medical Transport (VAN) | |
347C00000X Private Vehicle | |
3747P1801X Technician, Personal Care Attendant | |
376J00000X Homemaker | |
385H00000X Respite Care | |
Enumeration Date | 2020-12-02 |
Last Update Date | 2020-12-02 |