| NPI | 1679232037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: OH DJD2516) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2021-12-14 |