NPI | 1891516431 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385H00000X Respite Care |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
374U00000X Home Health Aide | |
Enumeration Date | 2024-10-17 |
Last Update Date | 2024-11-25 |