| NPI | 1982148508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 3747P1801X Technician, Personal Care Attendant | |
| 372600000X Adult Companion | |
| 376K00000X Nurse's Aide | |
| 376J00000X Homemaker | |
| 374U00000X Home Health Aide | |
| 372500000X Chore Provider | |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-20 |