| NPI | 1790309946 |
|---|---|
| Former Name | LATORIA CHAVELL WEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: OH 2409183) |
| Additional Taxonomies | 172A00000X Driver |
| 253Z00000X In Home Supportive Care | |
| 253Z00000X In Home Supportive Care (Licence: 7703999) | |
| 253Z00000X In Home Supportive Care (Licence: OH 7703999) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: 7703999) | |
| 3747P1801X Technician, Personal Care Attendant | |
| 3747P1801X Technician, Personal Care Attendant (Licence: OH 2409183) | |
| 376J00000X Homemaker | |
| 385HR2050X Respite Care, Respite Care Camp (Licence: 7703999) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-12-02 |