| NPI | 1972481752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-08-21 |