| NPI | 1962087056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376J00000X Homemaker (Licence: OH rt570644) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: OH rt570644) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: OH rt570644) | |
| 347C00000X Private Vehicle (Licence: OH rt570644) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: OH rt570644) | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |