| NPI | 1871987693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 251E00000X Home Health |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 374K00000X | |
| 374U00000X Home Health Aide | |
| 374U00000X Home Health Aide (Licence: NY 2704l001) | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2023-12-25 |