| NPI | 1063252823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMITRIA KEYES CEO 317-693-4193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 261QD1600X Clinic/Center Developmental Disabilities |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |