| NPI | 1669067575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 172A00000X Driver | |
| 347C00000X Private Vehicle | |
| 376G00000X Nursing Home Administrator (Licence: TN 4352) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2025-11-12 |