| NPI | 1780455121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 162989) |
| Additional Taxonomies | 174200000X Meals |
| 172A00000X Driver | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374U00000X Home Health Aide | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2025-04-22 |