| NPI | 1740949635 |
|---|---|
| Former Name | SHELBY NOLEN GEORGE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2021-12-08 |