| NPI | 1982058681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: PA 42963601) |
| 251E00000X Home Health (Licence: PA 42963601) | |
| 251T00000X PACE Provider Organization (Licence: PA 42963601) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 42963601) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: PA 42963601) | |
| 347C00000X Private Vehicle (Licence: PA 42963601) | |
| 372500000X Chore Provider (Licence: PA 42963601) | |
| 385H00000X Respite Care (Licence: PA 42963601) | |
| 372600000X Adult Companion (Licence: PA 42963601) | |
| 376J00000X Homemaker (Licence: PA 42963601) | |
| 376K00000X Nurse's Aide (Licence: PA 42963601) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2024-01-22 |