| NPI | 1821965807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: OH RU675923) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: OH RU675923) |
| 3747P1801X Technician, Personal Care Attendant (Licence: OH RU675923) | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |