NPI | 1699109298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
Enumeration Date | 2013-08-30 |
Last Update Date | 2013-08-30 |