| NPI | 1730959909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251X00000X |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332U00000X Home Delivered Meals | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 376J00000X Homemaker | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |