NPI | 1659899003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
Additional Taxonomies | 251E00000X Home Health |
253Z00000X In Home Supportive Care | |
261QD1600X Clinic/Center, Developmental Disabilities | |
Enumeration Date | 2017-09-06 |
Last Update Date | 2024-10-30 |