NPI | 1811139074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 23-762084) |
Additional Taxonomies | 171W00000X Contractor (Licence: CA 23-762084) |
171WH0202X Contractor, Home Modifications (Licence: CA 23-762084) | |
171WV0202X Contractor, Vehicle Modifications (Licence: CA 23-762084) | |
172A00000X Driver (Licence: CA 23-762084) | |
251E00000X Home Health (Licence: CA 23-762084) | |
253Z00000X In Home Supportive Care (Licence: CA 23-762084) | |
347C00000X Private Vehicle (Licence: CA 23-762084) | |
372500000X Chore Provider (Licence: CA 23-762084) | |
372600000X Adult Companion (Licence: CA 23-762084) | |
374U00000X Home Health Aide (Licence: CA 23-762084) | |
Enumeration Date | 2009-04-01 |
Last Update Date | 2009-04-01 |