| NPI | 1871339473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: OH RU733328) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: OH RU733328) |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |