| NPI | 1750075107 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 174200000X Meals |
| 372500000X Chore Provider | |
| 172A00000X Driver (Licence: OH sw766515) | |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-15 |