| NPI | 1841098639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172A00000X Driver (Licence: OH rj247007) | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-08-28 |