NPI | 1821350356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 372500000X Chore Provider |
Additional Taxonomies | 374U00000X Home Health Aide |
376G00000X Nursing Home Administrator | |
376J00000X Homemaker | |
Enumeration Date | 2012-06-11 |
Last Update Date | 2012-06-11 |