| NPI | 1922719418 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 372500000X Chore Provider | |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2022-12-06 |