NPI | 1831968585 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: VA 0001304164) |
251S00000X Community/Behavioral Health | |
253Z00000X In Home Supportive Care | |
314000000X Skilled Nursing Facility | |
261QR0208X Clinic/Center, Radiology, Mobile | |
313M00000X Nursing Facility/Intermediate Care Facility | |
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
342000000X Transportation Network Company | |
372600000X Adult Companion | |
374U00000X Home Health Aide | |
376K00000X Nurse's Aide | |
Enumeration Date | 2023-12-21 |
Last Update Date | 2023-12-21 |