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 Meals | |
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 |