NPI | 1992447122 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
347C00000X Private Vehicle | |
374U00000X Home Health Aide | |
376J00000X Homemaker | |
Enumeration Date | 2022-04-08 |
Last Update Date | 2022-04-08 |