| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
|
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 253Z00000X In Home Supportive Care |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 372500000X Chore Provider |
| 372600000X Adult Companion |
| 373H00000X Day Training/Habilitation Specialist |
| 3747P1801X Technician, Personal Care Attendant |
| 374U00000X Home Health Aide |
| 376J00000X Homemaker |
| Enumeration Date | 2026-05-30 |
| Last Update Date | 2026-05-30 |