| NPI | 1811723117 |
|---|---|
| Former Name | SAVANNA ROSE ZYCHOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH 160726) |
| Additional Taxonomies | 251J00000X Nursing Care |
| 347C00000X Private Vehicle | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |