| NPI | 1679946321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider (Licence: FL CNA 220633) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: FL CNA 220633) |
| 372600000X Adult Companion (Licence: FL CNA 220633) | |
| 376J00000X Homemaker (Licence: FL CNA 220633) | |
| 376K00000X Nurse's Aide (Licence: FL CNA 220633) | |
| 251E00000X Home Health (Licence: FL 234174) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: FL 1479757) | |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-25 |