| NPI | 1639955792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 171WH0202X Contractor Home Modifications |
| 171WV0202X Contractor Vehicle Modifications | |
| 172A00000X Driver | |
| 372500000X Chore Provider | |
| 174200000X Meals | |
| 251E00000X Home Health | |
| 342000000X | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |