NPI | 1841065901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 253Z00000X In Home Supportive Care |
Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
347C00000X Private Vehicle | |
372600000X Adult Companion | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2023-11-20 |
Last Update Date | 2024-02-14 |