| NPI | 1952752743 |
|---|---|
| Other Name | KERI LYNN BODEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 172A00000X Driver (Licence: AZ D01309813) |
| 174200000X | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ D01309813) | |
| 252Y00000X Early Intervention Provider Agency | |
| 305S00000X Point of Service | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 376J00000X Homemaker | |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2022-03-24 |