NPI | 1700574704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 347C00000X Private Vehicle |
251C00000X Day Training, Developmentally Disabled Services | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2023-04-27 |
Last Update Date | 2023-11-02 |