| NPI | 1053176123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LATRICE BULLOCK CEO 317-938-5251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251K00000X Public Health or Welfare | |
| 251S00000X Community/Behavioral Health | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-10-04 |