| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251E00000X Home Health |
| 332U00000X Home Delivered Meals |
| 251G00000X Hospice Care, Community Based |
| 343900000X Non-emergency Medical Transport (VAN) |
| 251S00000X |
| 373H00000X Day Training/Habilitation Specialist |
| 372500000X Chore Provider |
| 372600000X Adult Companion |
| 374U00000X Home Health Aide |
| 376J00000X Homemaker |
| 385H00000X Respite Care |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child |
| Enumeration Date | 2021-01-29 |
| Last Update Date | 2021-02-05 |