| NPI | 1942821855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 372500000X Chore Provider |
| 376J00000X Homemaker | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-08 |