| NPI | 1770991978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: TN 1000000014344) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: TN 1000000014344) |
| 374700000X Technician (Licence: TN 1000000014344) | |
| 3747A0650X Technician, Attendant Care Provider (Licence: TN 1000000014344) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: TN 1000000014344) | |
| 374U00000X Home Health Aide (Licence: TN 1000000014344) | |
| 376J00000X Homemaker (Licence: TN 1000000014344) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |