| NPI | 1730519851 |
|---|---|
| Former Name | CHARMAINE MICHELLE MOODLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2020-02-17 |