| NPI | 1669299715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care |
| Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 344600000X Taxi (Licence: AZ b11092322) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| 347C00000X Private Vehicle (Licence: AZ b11092322) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2024-09-20 |