| NPI | 1033427422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA S WOLF Crt 765-456-1739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: IN 30007130A) |
| Additional Taxonomies | 251E00000X Home Health (Licence: IN 33030400739) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |