| NPI | 1033931308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HOLLIS Owner 260-442-7635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |