| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) |
| 347C00000X Private Vehicle |
| 347E00000X Transportation Broker |
| 251300000X Local Education Agency (LEA) |
| 251C00000X Day Training, Developmentally Disabled Services |
| 251S00000X Community/Behavioral Health |
| 251X00000X Supports Brokerage |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-12 |