| NPI | 1730010612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant |
| 171400000X Health & Wellness Coach | |
| 172A00000X Driver | |
| 225100000X Physical Therapist | |
| 133N00000X Nutritionist | |
| 225X00000X Occupational Therapist | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2026-05-28 |
| Last Update Date | 2026-05-28 |