| NPI | 1891546958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: TN L00000033164) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: TN L00000033164) |
| 347C00000X Private Vehicle (Licence: TN L00000033164) | |
| 372600000X Adult Companion (Licence: TN L00000033164) | |
| 376J00000X Homemaker (Licence: TN L00000033164) | |
| 376K00000X Nurse's Aide (Licence: TN L00000033164) | |
| Enumeration Date | 2024-03-28 |
| Last Update Date | 2024-03-28 |