| NPI | 1881293884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: OH 8702320) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: OH 8702320) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: OH 8702320) | |
| 347C00000X Private Vehicle (Licence: OH 8702320) | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: OH 8702320) | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |