| NPI | 1063124469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNIE DERY Owner/ General Manager 317-938-6802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 282E00000X Long Term Care Hospital | |
| 251J00000X Nursing Care | |
| Enumeration Date | 2022-12-16 |
| Last Update Date | 2022-12-16 |