| NPI | 1043043433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE AMANCHUKWU Admin 317-979-0647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology |
| 163WH0200X Registered Nurse Home Health | |
| 251E00000X Home Health | |
| 261QU0200X Clinic/Center Urgent Care | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-07-25 |