| NPI | 1770166217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL11969771) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 171R00000X Interpreter | |
| 172A00000X Driver | |
| 174200000X Meals | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-01-22 |