| NPI | 1902504459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Additional Taxonomies | 251E00000X Home Health |
| 171W00000X Contractor | |
| 253Z00000X In Home Supportive Care | |
| 310400000X Assisted Living Facility | |
| 376J00000X Homemaker | |
| Enumeration Date | 2023-02-22 |
| Last Update Date | 2023-02-22 |